DR. Jacob Daniel Ledesma, PT, DPT

NPI #1326648023 in Bourbonnais, Illinois

Provider Information

NPI Number: 1326648023
Entity Type: Individual
Name: DR. Jacob Daniel Ledesma, PT, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT, DPT
Enumeration Date: Oct 30, 2020
Last Updated: Aug 18, 2021

Practice Location

Address: 588 WILLIAM R LATHAM SENIOR DR STE 5
City: Bourbonnais
State: Illinois
ZIP Code: 60914
Phone: (815) 937-0446

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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