JACOB CARLSON

FORT BENNING, GA
NPI1710761069
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: SC  12528)
Enumeration Date2023-08-18
Last Update Date2026-05-21
Business Address
JACOB CARLSON
6600 VAN AALST BLVD
FORT BENNING, GA 31905-2102
Phone number: 762-408-2273
Mailing Address
JACOB CARLSON
6600 VAN AALST BLVD
FORT BENNING, GA 31905-2102
Phone number: 762-408-2273
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