Samantha Rose Jacoby, PTA

NPI #1780187088 in Mayville, Wisconsin

Provider Information

NPI Number
1780187088
Entity Type
Individual
Name
Samantha Rose Jacoby, PTA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapy Assistant
Credential
PTA
Enumeration Date
Mar 13, 2018
Last Updated
Mar 13, 2018

Practice Location

Address
305 S CLARK ST
ZIP Code
53050-1488
Phone
(920) 387-0354

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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