JACOB D GATES

OMAK, WA
NPI1417552688
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: WA  P160696110)
Enumeration Date2020-12-03
Last Update Date2020-12-03
Business Address
JACOB D GATES PTA
619 W. BARTLETT AVE
OMAK, WA 98841
Phone number: 509-826-0320
Mailing Address
JACOB D GATES PTA
18 HORIZON FLATS RD
WINTHROP, WA 98862-8400
Phone number: 360-303-4928
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