BRENDA JACOB

MILWAUKIE, OR
NPI1588063366
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: OR  08569)
Enumeration Date2014-08-18
Last Update Date2014-08-18
Business Address
-- BRENDA JACOB PTA
12045 SE STANLEY AVE
MILWAUKIE, OR 97222-2938
Phone number: 503-659-2323
Mailing Address
-- BRENDA JACOB PTA
6111 SW BEAVERTON HILLSDALE HWY APT 18
PORTLAND, OR 97221-1161
Phone number: 971-226-1391
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