NPI Profile for JACOB POTRZEBA in HILLSDALE, NY.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Human Factors |
2251H1300X | 65 | Physical Therapist in Private Practice | |
Physical Therapist |
225100000X | 65 | Physical Therapist in Private Practice |
| NPI Number | 1033792080 |
|
| Status | Active | |
| Credentials | DPT (Doctorate of Physical Therapy) | |
| Entity | Individual | |
| Enumeration date | 04/28/2021 | |
| Last updated | 04/28/2021 - About 5 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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JACOB POTRZEBA
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