Brandy Jacob

NPI #1790141919 in Tillamook, Oregon

Provider Information

NPI Number: 1790141919
Entity Type: Individual
Name: Brandy Jacob
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Jan 4, 2016
Last Updated: Jan 4, 2016

Practice Location

Address: 1000 3RD ST
City: Tillamook
State: Oregon
ZIP Code: 97141-3430
Phone: (503) 842-4444

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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