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1942048020
JAKE A LA
SAN JOSE, CA
NPI
1942048020
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA PT306071)
Enumeration Date
2024-07-15
Last Update Date
2024-07-15
Business Address
DR. JAKE A LA DPT, PT
1375 BLOSSOM HILL RD STE 33
SAN JOSE, CA 95118-3825
Phone number: 408-784-7167
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Mailing Address
DR. JAKE A LA DPT, PT
3525 SLOPEVIEW DR
SAN JOSE, CA 95148-2843
Phone number:
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