JACOB A GABRIELSEN

BOISE, ID
NPI1316072036
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: ID  PT2186)
Enumeration Date2007-02-22
Last Update Date2007-07-08
Business Address
-- JACOB A GABRIELSEN DPT
7550 W EMERALD ST STE 101
BOISE, ID 83704-9015
Phone number: 208-375-0666
Mailing Address
-- JACOB A GABRIELSEN DPT
7550 W EMERALD ST STE 101
BOISE, ID 83704-9015
Phone number: 208-375-0666