JACOB BLAKE DANIELS

BRANDON, MS
NPI1295288017
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: MS  PT5952)
Enumeration Date2016-07-28
Last Update Date2016-07-28
Business Address
JACOB BLAKE DANIELS DPT
1220 N SHORE PKWY SUITE B
BRANDON, MS 39047-6383
Phone number: 601-829-0505
Mailing Address
JACOB BLAKE DANIELS DPT
2416 HIGHWAY 45 N
COLUMBUS, MS 39705-1320
Phone number: 662-327-6705
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