JACOB S TROCK

PORT ORANGE, FL
NPI1851821169
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: WA  P160688004)
Enumeration Date2017-06-19
Last Update Date2017-06-19
Business Address
JACOB S TROCK
5535 S WILLIAMSON BLVD STE 774
PORT ORANGE, FL 32128-8321
Phone number: 888-265-2680
Mailing Address
JACOB S TROCK
144 CALENDULA ST
SPRING BRANCH, TX 78070-5415
Phone number:
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