MR. Jacob Channing Pattengill, P.T.

NPI #1194894980 in Cape Girardeau, Missouri

Provider Information

NPI Number: 1194894980
Entity Type: Individual
Name: MR. Jacob Channing Pattengill, P.T.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: P.T.
Enumeration Date: Nov 7, 2006
Last Updated: Dec 15, 2009

Practice Location

Address: 240 S MOUNT AUBURN RD
City: Cape Girardeau
State: Missouri
ZIP Code: 63703-4918
Phone: (573) 334-6711

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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