DR. Michael Lee Jacobs, PT, DPT

NPI #1063753671 in Cranston, Rhode Island

Provider Information

NPI Number: 1063753671
Entity Type: Individual
Name: DR. Michael Lee Jacobs, PT, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT, DPT
Enumeration Date: Mar 6, 2013
Last Updated: Mar 6, 2013

Practice Location

Address: 1150 RESERVOIR AVE
Address 2: SUITE 103
City: Cranston
State: Rhode Island
ZIP Code: 02920-6068
Phone: (401) 942-2625

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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