Jacob Wilson

NPI #1255849626 in Fairfield, Iowa

Provider Information

NPI Number: 1255849626
Entity Type: Individual
Name: Jacob Wilson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Jan 18, 2018
Last Updated: Jul 3, 2019

Practice Location

Address: 2000 S MAIN ST
City: Fairfield
State: Iowa
ZIP Code: 52556-9572
Phone: (641) 472-4111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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