Jacob Provance
NPI #1235529967 in Uniontown, Pennsylvania
Provider Information
- NPI Number
- 1235529967
- Entity Type
- Individual
- Name
- Jacob Provance
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapy Assistant
- Enumeration Date
- Feb 3, 2015
- Last Updated
- Jun 23, 2022
Practice Location
- Address
- 202 JACOB MURPHY LN STE 101
- City
- Uniontown
- State
- Pennsylvania
- ZIP Code
- 15401-2608
- Phone
- (724) 434-2720
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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