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Contact Information

JACOB POTRZEBA, DPT
6 PHEASANT LN
HILLSDALE, NY12529-5410
 Phone: 518-672-7312
 Fax:
 Website:
 

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
Indicates primary specialty

NPI Profile & details for JACOB POTRZEBA · (Male)

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
  • MA License # 22235
  • NY License # 037873-01
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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