ALEC JAY JACOBS

CHEYENNE, WY
NPI1578127056
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: WY  PT-1847)
Enumeration Date2019-04-30
Last Update Date2019-04-30
Business Address
ALEC JAY JACOBS DPT
1900 CONVERSE AVE STE B
CHEYENNE, WY 82001-4112
Phone number: 307-514-2411
Mailing Address
ALEC JAY JACOBS DPT
PO BOX 1790
DOUGLAS, WY 82633-1790
Phone number: 307-358-9464
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