Brian Edwin Jacobson, PT

NPI #1093065336 in Camarillo, California

Provider Information

NPI Number: 1093065336
Entity Type: Individual
Name: Brian Edwin Jacobson, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Sep 13, 2012
Last Updated: Sep 13, 2012

Practice Location

Address: 500 PASEO CAMARILLO
Address 2: SUITE 105
City: Camarillo
State: California
ZIP Code: 93010-5900
Phone: (805) 987-6851

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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