JACOB HENDERSON

HAMPTON, VA
NPI1891351649
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2251X0800X Physical Therapist, Orthopedic
(Licence: VA  2305212743)
Enumeration Date2019-05-17
Last Update Date2019-06-20
Business Address
JACOB HENDERSON DPT
2106 EXECUTIVE DR
HAMPTON, VA 23666-2402
Phone number: 757-838-6678
Mailing Address
JACOB HENDERSON DPT
7121 NEWPORT AVE
NORFOLK, VA 23505-3924
Phone number: 567-249-8709