John Vincent Jacobson, PTA

NPI #1578702916 in Lake Geneva, Wisconsin

Provider Information

NPI Number: 1578702916
Entity Type: Individual
Name: John Vincent Jacobson, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Feb 9, 2009
Last Updated: Aug 18, 2014

Practice Location

Address: 6722 HIGHWAY 50
City: Lake Geneva
State: Wisconsin
ZIP Code: 53147-3647
Phone: (262) 248-2029

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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