Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACOB LAWRENCE CENTRA, PT, DPT, CSCS
Active Sole ProprietorDR. JACOB LAWRENCE CENTRA, PT, DPT, CSCS is a Physical Therapy Assistant healthcare provider located in COLUMBIA, Maryland. NPI 1477185106 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · COLUMBIA, MD
Registration Details
- NPI Number
- 1477185106
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 11, 2020 (6.4704674702658 yrs)
- Last Updated
- Feb 11, 2020
- License
-
27852 (MD)
- Sole Proprietor
- Yes
Practice Information
- Address
-
10840 LITTLE PATUXENT PKWY STE 105COLUMBIA, MD, 210443254Browse MD providers · Browse ZIP 21044
- Phone
- 4107302028
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in COLUMBIA, MD
| Name | Credential | NPI |
|---|---|---|
| JOHN T BROADWAY | PT | 1124099668 |
| MISS PRIYA MALINI DAS | MSPT,MSED | 1174564660 |
| DEAN CLATWORTHY | PT | 1922025667 |
| MARIAH ANNE MIANO | PT | 1659391308 |
| SHELLY CARROLL | PT | 1861412025 |
| LYNN NAVARRE | P.T. | 1891715660 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.