Jacob D Gates, PTA
NPI #1417552688 in Omak, Washington
Provider Information
- NPI Number
- 1417552688
- Entity Type
- Individual
- Name
- Jacob D Gates, PTA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Dec 3, 2020
- Last Updated
- Dec 3, 2020
Practice Location
- Address
- 619 W. BARTLETT AVE
- City
- Omak
- State
- Washington
- ZIP Code
- 98841
- Phone
- (509) 826-0320
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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