Fouts, Jacob Tyler

Fouts, Jacob Tyler is an individual health care provider with primary practice located at 1 Orthopaedic Pl , St Augustine FL 32086-4202. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Fouts, Jacob Tyler can be contacted via phone (904) 825-0540.

Contact Information

Primary practice address
1 Orthopaedic Pl St Augustine FL 32086-4202
Phone: (904) 825-0540
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT 27292 Florida

Profile Details

NPI number 1194084921
LBN Legal business name Fouts, Jacob Tyler
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date May 14th, 2012
Last updated May 14th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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