Jacob Brandenburg

NPI #1538534847 in Provo, Utah

Provider Information

NPI Number: 1538534847
Entity Type: Individual
Name: Jacob Brandenburg
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Enumeration Date: Dec 11, 2015
Last Updated: Dec 11, 2015

Practice Location

Address: 5314 RIVER RUN DR
Address 2: SUITE 140
City: Provo
State: Utah
ZIP Code: 84604-5691
Phone: (801) 471-2449

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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