Jacob Castersen, PT, DPT

NPI #1205393477 in Lake Forest, California

Provider Information

NPI Number: 1205393477
Entity Type: Individual
Name: Jacob Castersen, PT, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT, DPT
Enumeration Date: Feb 25, 2019
Last Updated: Feb 25, 2019

Practice Location

Address: 24301 MUIRLANDS BLVD STE T
City: Lake Forest
State: California
ZIP Code: 92630-3627
Phone: (949) 271-0012

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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