Carl Edward Jakowenko, PTA
NPI #1992319396 in Scarborough, Maine
Provider Information
- NPI Number
- 1992319396
- Entity Type
- Individual
- Name
- Carl Edward Jakowenko, PTA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Sep 2, 2020
- Last Updated
- Sep 2, 2020
Practice Location
- Address
- 378 GORHAM RD
- City
- Scarborough
- State
- Maine
- ZIP Code
- 04074-9640
- Phone
- (207) 839-2373
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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