CARL EDWARD JAKOWENKO

SCARBOROUGH, ME
NPI1992319396
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: ME  PA4170)
Enumeration Date2020-09-02
Last Update Date2020-09-02
Business Address
CARL EDWARD JAKOWENKO PTA
378 GORHAM RD
SCARBOROUGH, ME 04074-9640
Phone number: 207-839-2373
Mailing Address
CARL EDWARD JAKOWENKO PTA
378 GORHAM RD
SCARBOROUGH, ME 04074-9640
Phone number: 207-839-2373