Individual
DEANN MARIE JACOBSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, PTA, ATC
Contact information
Practice address
8750 BRIARCLIFF LN, RIVERSIDE, CA 92508-2519
(916) 718-0775
Mailing address
8750 BRIARCLIFF LN, RIVERSIDE, CA 92508-2519
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA5287
CA
2255A2300X
Athletic Trainer
—
CA
Other
Enumeration date
05/04/2020
Last updated
05/04/2020
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