JACOB RYAN HURLBURT

MILWAUKEE, WI
NPI1205311651
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: WI  2839-19)
Enumeration Date2018-10-02
Last Update Date2018-10-02
Business Address
MR. JACOB RYAN HURLBURT PTA
6908 N SANTA MONICA BLVD
MILWAUKEE, WI 53217-3942
Phone number: 414-352-2082
Mailing Address
MR. JACOB RYAN HURLBURT PTA
1123 6TH AVE
GRAFTON, WI 53024-1807
Phone number: 715-495-4625