Daryl Clayton Jacobs II DPT, MTC, ATC

NPI 1023021896 - Physical Therapist - 225100000X

NPI Details
NPI 1023021896
Gender Male
Enumeration Date 08/14/2006
Last Updated 08/09/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
8045 SPYGLASS HILL RD
SUITE 103
MELBOURNE FL, 32940-8567, US
Phone (321) 757-5515
Fax
Business Location
8045 SPYGLASS HILL RD
SUITE 103
MELBOURNE FL, 32940-8567, US
Phone (321) 757-5515
Fax
Toxanomy
Taxonomy Code 225100000X
License State Florida
License Number PT19737
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According to our database, Daryl Clayton Jacobs II DPT, MTC, ATC NPI is 1023021896, taxonomy code is 225100000X and license number is PT19737, license state is located at Florida. Daryl Clayton Jacobs II DPT, MTC, ATC physically located at 8045 Spyglass Hill Rd, Melbourne FL, 32940-8567. NPI Number Daryl Clayton Jacobs II DPT, MTC, ATC has the Individual type.

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1023021896 NPI number is provided on an as is basis without warranty of any kind. 1023021896 is maintained by the National Plan & Provider Enumeration System. The contents of Daryl Clayton Jacobs II DPT, MTC, ATC are for informational purposes only.