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Jacob Slaffey, PTA
NPI 1649566803 · on the registry since 2011
Practice
- Address
- 12819 Short Ave
Los Angeles, CA 90066 - Phone
- (310) 591-9030
- Organisation at this address
- Supplemental Health Care
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-06-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California