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1669084075
JAKE RYAN BOSTICK
STATE COLLEGE, PA
NPI
1669084075
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: PA PT028863)
Enumeration Date
2020-08-18
Last Update Date
2020-08-18
Business Address
JAKE RYAN BOSTICK PT
3075 ENTERPRISE DR STE 200
STATE COLLEGE, PA 16801-3241
Phone number: 814-308-8482
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Mailing Address
JAKE RYAN BOSTICK PT
3075 ENTERPRISE DR STE 200
STATE COLLEGE, PA 16801-3241
Phone number: 814-308-8482
Copy
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