JACOB JOHNSON

NEW SMYRNA BEACH, FL
NPI1588333728
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: FL  30319)
Enumeration Date2021-09-10
Last Update Date2021-09-10
Business Address
JACOB JOHNSON
916 N DIXIE FWY
NEW SMYRNA BEACH, FL 32168-6220
Phone number: 386-426-7885
Mailing Address
JACOB JOHNSON
1400 VOLCO RD
EDGEWATER, FL 32141-6986
Phone number: 386-690-2638
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