NPI 1003985797

Jacob Irwin, PT

Practitioner Physical Therapist Marietta, GA

Practice location

Address: 4343 Shallowford Rd STE 630, Marietta, GA 30062-5080
Phone: (770) 449-5152
Fax: (866) 821-7683

Registered specialties

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence GA07576 (GA)

Other Physical Therapist providers in Georgia →

Registry record

NPI: 1003985797
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Nov 2006
Record last updated: 21 Apr 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.