JACOB PROVANCE

UNIONTOWN, PA
NPI1235529967
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: PA  TE010421)
Enumeration Date2015-02-03
Last Update Date2022-06-23
Business Address
JACOB PROVANCE
202 JACOB MURPHY LN STE 101
UNIONTOWN, PA 15401-2608
Phone number: 724-434-2720
Mailing Address
JACOB PROVANCE
202 JACOB MURPHY LN STE 101
UNIONTOWN, PA 15401-2608
Phone number: 724-434-2720