Jacob Johnson
NPI #1588333728 in New Smyrna Beach, Florida
Provider Information
- NPI Number
- 1588333728
- Entity Type
- Individual
- Name
- Jacob Johnson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapy Assistant
- Enumeration Date
- Sep 10, 2021
- Last Updated
- Sep 10, 2021
Practice Location
- Address
- 916 N DIXIE FWY
- City
- New Smyrna Beach
- State
- Florida
- ZIP Code
- 32168-6220
- Phone
- (386) 426-7885
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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