Audrey Jacobsen, DPT

NPI #1902302110 in Wickenburg, Arizona

Provider Information

NPI Number: 1902302110
Entity Type: Individual
Name: Audrey Jacobsen, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: Apr 5, 2018
Last Updated: Apr 5, 2018

Practice Location

Address: 520 ROSE LN
City: Wickenburg
State: Arizona
ZIP Code: 85390-1447
Phone: (928) 684-5529

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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