Most Relevant Information
Provider Data
| NPI Number: | 1003537416 |
| Provider Name: | JACOB CHRISTOPHER BURGGRAFF PT, DPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | PT61335329 |
Most Important Dates
| Enumeration Date: | 09/06/2022 |
| Last Updated: | 03/01/2023 |
Provider Practice Location
7409 NE HAZEL DELL AVE STE 112
VANCOUVER
WA
986658337
Practice Location Phone/Fax
| Phone: | 3605974048 |
| Fax: |
Provider Mailing Location
1940 S BONITO WAY STE 190
MERIDIAN
ID
836425618
Provider Mailing Phone/Fax
| Phone: | 2082879420 |
| Fax: |