Jacob Smith

NPI #1821828013 in Saint Charles, Illinois

Provider Information

NPI Number: 1821828013
Entity Type: Individual
Name: Jacob Smith
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Aug 3, 2024
Last Updated: Aug 3, 2024

Practice Location

Address: 3381 W MAIN ST STE 1
City: Saint Charles
State: Illinois
ZIP Code: 60175-1008
Phone: (630) 649-0511

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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