Jake Plain

NPI #1952780603 in Lorton, Virginia

Provider Information

NPI Number: 1952780603
Entity Type: Individual
Name: Jake Plain
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: May 28, 2015
Last Updated: May 28, 2015

Practice Location

Address: 9447B LORTON MARKET ST
Address 2: SUITE 250
City: Lorton
State: Virginia
ZIP Code: 22079-1963
Phone: (703) 372-5716

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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