Jacob Thomas Dellinger DPT

NPI 1053750141 - Physical Therapist - 225100000X

NPI Details
NPI 1053750141
Gender Male
Enumeration Date 06/21/2013
Last Updated 03/04/2015
Entity Type Individual
Active Over 4 years ago
Practice Location
3708 NORTHSIDE DR
SUITE D
MACON GA, 31210-2404, US
Phone (478) 745-4206
Fax
Business Location
3708 NORTHSIDE DR
MACON GA, 31210-2404, US
Phone (478) 745-4206
Fax
Toxanomy
Taxonomy Code 225100000X
License State Georgia
License Number PT011005
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According to our database, Mr. Jacob Thomas Dellinger DPT NPI is 1053750141, taxonomy code is 225100000X and license number is PT011005, license state is located at Georgia. Jacob Thomas Dellinger DPT physically located at 3708 Northside Dr, Macon GA, 31210-2404. NPI Number Jacob Thomas Dellinger DPT has the Individual type.

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1053750141 NPI number is provided on an as is basis without warranty of any kind. 1053750141 is maintained by the National Plan & Provider Enumeration System. The contents of Jacob Thomas Dellinger DPT are for informational purposes only.