Male or Other

Jacob P. Brown

Physical Therapy Assistant in Osceola, WI(View on Map)

Full Name

Jacob Paul Brown

NPI Number

1760179253

NPI Type

Individual Provider

Gender

Male

Enumeration Date

04/24/2023

Specialties

(Taxonomies)

Code

225200000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

2600 65TH AVE
2600 65TH AVE

City

Osceola
Osceola

State

WI
WI

Postal Code

54020-4376
54020-4376

Country

US
US

Telephone Number

N/A
(715) 294-2111

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 04/24/2023

Provider Address

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