MS. Randy F. Jacobson, P.T.

NPI #1770527939 in Santa Monica, California

Provider Information

NPI Number
1770527939
Entity Type
Individual
Name
MS. Randy F. Jacobson, P.T.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physical Therapist - Pediatrics
Credential
P.T.
Enumeration Date
Jun 16, 2006
Last Updated
Sep 22, 2008

Practice Location

Address
2901 WILSHIRE BLVD
Address 2
SUITE 319
ZIP Code
90403-4901
Phone
(310) 582-1190

Specialties & Taxonomy Codes

Specialty
Physical Therapist - PediatricsPediatrics

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