Jacob Randel Gamble

NPI #1205502762 in Newberry, Florida

Provider Information

NPI Number: 1205502762
Entity Type: Individual
Name: Jacob Randel Gamble
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Aug 16, 2021
Last Updated: Oct 31, 2023

Practice Location

Address: 13559 NW 1ST LN
City: Newberry
State: Florida
ZIP Code: 32669-3473
Phone: (325) 558-3189

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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