MRS. Mary Beth Jacobson, PTA
NPI #1992817928 in North Freedom, Wisconsin
Provider Information
- NPI Number
- 1992817928
- Entity Type
- Individual
- Name
- MRS. Mary Beth Jacobson, PTA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Aug 31, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- E11016A GROTH RD
- City
- North Freedom
- State
- Wisconsin
- ZIP Code
- 53951-9727
- Phone
- (608) 644-9082
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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