Individual
BRIAN EDWIN JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
500 PASEO CAMARILLO, SUITE 105, CAMARILLO, CA 93010-5900
(805) 987-6851
Mailing address
132 CINDY AVE, NEWBURY PARK, CA 91320-4421
(951) 660-1259
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
39343
CA
Other
Enumeration date
09/13/2012
Last updated
09/13/2012
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