Jacquelyn O Jacobs

NPI #1134842784 in Mishawaka, Indiana

Provider Information

NPI Number
1134842784
Entity Type
Individual
Name
Jacquelyn O Jacobs
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physical Therapy Assistant
Enumeration Date
Sep 20, 2022
Last Updated
Sep 20, 2022

Practice Location

Address
3630 HICKORY RD
State
Indiana
ZIP Code
46545-8865
Phone
(574) 252-7225

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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