JAKE DIVERS IV, PT, DPT
Physical Therapist
Active
Individual
NPI: 1871942961
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physical Therapist | 225100000X | Yes | 2305210198 (VA) |
Frequently Asked Questions
NPI 1871942961 is the National Provider Identifier for JAKE DIVERS IV, PT, DPT, a Physical Therapist provider located in Vinton, VA. This NPI was enumerated on June 9, 2016.
JAKE DIVERS IV, PT, DPT practices at 1110 VINYARD RD, Vinton, VA 24179.
Quick Facts
- NPI
- 1871942961
- Type
- Individual
- Enumerated
- Jun 9, 2016
- Last Updated
- Jun 9, 2016
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CHERYL WEBER, PT
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SUSAN STRIEBECK, DC/PTA
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JEFFERSON TEASS, DC
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