JACOB WALL

SILVERTON, OR
NPI1245118801
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
Enumeration Date2025-08-22
Last Update Date2025-08-22
Business Address
JACOB WALL
240 PHELPS ST
SILVERTON, OR 97381-2042
Phone number: 503-873-1647
Mailing Address
JACOB WALL
57 GILDERSLEEVE AVE
COLLINSVILLE, CT 06019-3009
Phone number: 860-806-4202
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