| Jacob Vaillancourt, DPT | |
|
512 E Columbus Ave, Corry, PA 16407-9014 | |
| (814) 664-9346 | |
| (814) 663-0169 |
| Full Name | Jacob Vaillancourt |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 512 E Columbus Ave, Corry, Pennsylvania |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659071785 | NPI | - | NPPES |
| PT031097 | Other | PA | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT031097 (Pennsylvania) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob Vaillancourt, DPT 512 E Columbus Ave, Corry, PA 16407-9014 Ph: (814) 664-9346 | Jacob Vaillancourt, DPT 512 E Columbus Ave, Corry, PA 16407-9014 Ph: (814) 664-9346 |
Jamie Mattswell, Physical Therapist Medicare: Medicare Enrolled Practice Location: 512 E Columbus Ave, Corry, PA 16407 Phone: 814-664-9346 Fax: 814-663-0169 | |
Mrs. Tracy Ann Styborski, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 41 N Center St, Corry, PA 16407 Phone: 814-663-7878 Fax: 814-663-0661 | |
Mr. John Mark Styborski, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 41 N Center St, Corry, PA 16407 Phone: 814-663-7878 Fax: 814-663-0661 | |
Alyssa Hutchinson, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 640 Worth St, Corry, PA 16407 Phone: 814-664-9606 | |
Perri Wasserman, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 965 Shamrock Ln, Corry, PA 16407 Phone: 814-664-4641 Fax: 814-644-4086 |