JAYCOB MICHEL ROSS

SANTA FE, NM
NPI1487930368
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: NM  4013)
Additional Taxonomies225100000X Physical Therapist
(Licence: MN  8850)
Enumeration Date2011-10-24
Last Update Date2011-10-27
Business Address
-- JAYCOB MICHEL ROSS D.P.T.
2954 RODEO PARK DR W
SANTA FE, NM 87505-6351
Phone number: 505-424-0131
Mailing Address
-- JAYCOB MICHEL ROSS D.P.T.
PO BOX 6100
SANTA FE, NM 87502-6100
Phone number: 505-424-0131