MS. Heidi Sue Jacob, PTA, LMT
NPI #1396092920 in Stoughton, Massachusetts
Provider Information
- NPI Number
- 1396092920
- Entity Type
- Individual
- Name
- MS. Heidi Sue Jacob, PTA, LMT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist
- Credential
- PTA, LMT
- Enumeration Date
- Aug 14, 2012
- Last Updated
- Aug 16, 2012
Practice Location
- Address
- 1519 CENTRAL ST
- City
- Stoughton
- State
- Massachusetts
- ZIP Code
- 02072-4415
- Phone
- (781) 297-0979
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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