IndividualActive
Carl Jakowenko, PTA
NPI 1992319396 · Physical Therapy Assistant · Scarborough, ME
Provider details
- NPI number
- 1992319396
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- Yes
- License
- PA4170 (ME)
Mailing address
378 Gorham Rd
Scarborough, ME 04074-9640
Registry dates
- Enumerated
- 2020-09-02
- Last updated
- 2020-09-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.