JACOB MELVIN

FAIRFAX, VA
NPI1841182581
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: VA  2306606772)
Enumeration Date2025-07-17
Last Update Date2025-07-17
Business Address
JACOB MELVIN PTA
10521 ROSEHAVEN ST STE LL150
FAIRFAX, VA 22030-2889
Phone number: 703-383-1616
Mailing Address
JACOB MELVIN PTA
10521 ROSEHAVEN ST STE LL150
FAIRFAX, VA 22030-2889
Phone number: 703-383-1616
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