Jacob Lively
NPI #1407447998 in Moore, Oklahoma
Provider Information
- NPI Number
- 1407447998
- Entity Type
- Individual
- Name
- Jacob Lively
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapy Assistant
- Enumeration Date
- Jan 28, 2021
- Last Updated
- Jan 28, 2021
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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