JACOB GREDVIG

ASHLAND, OR
NPI1548832090
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: OR  64008)
Enumeration Date2021-07-14
Last Update Date2021-07-14
Business Address
JACOB GREDVIG PT, DPT
370 E HERSEY ST STE 1
ASHLAND, OR 97520-2325
Phone number: 541-482-6360
Mailing Address
JACOB GREDVIG PT, DPT
284 W HERSEY ST UNIT 16
ASHLAND, OR 97520-1789
Phone number: 952-807-4884
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