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Jacob Eric Bentley, CO,LO
Orthotist in Hiram, Georgia
NPI 1417127432

Jacob Eric Bentley is a Orthotist based in Tifton, GA. Jacob Eric Bentley practices in Hiram, GA and has the professional credentials of CO,LO. The NPI Number for Jacob Eric Bentley is 1417127432 and holds a License No. 14 (Georgia).

The current practice location address for Jacob Eric Bentley is 127 Enterprise Path, Hiram, GA and can be reached out via phone at 678-384-1921 and via fax at 678-384-1922.

Location: 127 Enterprise Path, Hiram, GA, 31794-3640
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417127432
Provider Name
Jacob Eric Bentley
Credential
CO,LO
Provider Entity Type
Individual
Gender
Male
Address
127 Enterprise Path, Hiram, GA, 31794-3640
Phone Number
678-384-1921
Fax Number
678-384-1922
Provider Enumeration Date
03/05/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
127 Enterprise Path
City
Hiram
State
Georgia
Zip
30141-2697
Phone Number
678-384-1921
Fax Number
678-384-1922
person
Provider Business Mailing Address Details
Address
127 Enterprise Path
City
Hiram
State
Georgia
Zip
30141-2697
Phone Number
678-384-1921
Fax Number
678-384-1922
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Orthotist
Speciality
-
Taxonomy
222Z00000X
License No.
14 (Georgia)
Definition
A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
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