JACOB LEE BEAN

PRESCOTT, AZ
NPI1588805907
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: AZ  PT-009376)
Enumeration Date2009-03-14
Last Update Date2018-12-25
Business Address
Mr. JACOB LEE BEAN MPT
6820 EL DORADO DR
PRESCOTT, AZ 86303
Phone number: 928-308-3462
Mailing Address
Mr. JACOB LEE BEAN MPT
6820 EL DORADO DR
PRESCOTT, AZ 86303-6526
Phone number: 928-308-3462
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