JACOB ORNBURN

SAINT LOUIS, MO
NPI1760191621
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MO  2022007009)
Enumeration Date2022-11-21
Last Update Date2022-11-21
Business Address
JACOB ORNBURN
4851 GOETHE AVE
SAINT LOUIS, MO 63116-1280
Phone number: 785-764-6792
Mailing Address
JACOB ORNBURN
4851 GOETHE AVE
SAINT LOUIS, MO 63116-1280
Phone number: 785-764-6792
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