Jacey Cobb

NPI #1275724536 in Lebanon, New Hampshire

Provider Information

NPI Number: 1275724536
Entity Type: Individual
Name: Jacey Cobb
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Aug 1, 2007
Last Updated: Aug 1, 2007

Practice Location

Address: 24 OLD ETNA RD
City: Lebanon
State: New Hampshire
ZIP Code: 03766-1937
Phone: (603) 442-4207

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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