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Individual
TIFFANY SAM JACOBS
Active
Individual
TIFFANY SAM JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
29136
MD
225100000X
Physical Therapist
CP038715T
CO
225100000X
Physical Therapist
CP049787T
WA
225100000X
Physical Therapist
Primary
PTL89607
MA
Other
Enumeration date
07/01/2022
Last updated
05/28/2026
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