Individual
HALEY JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
4730 S LABURNUM AVE, RICHMOND, VA 23231-2712
(804) 764-1000
Mailing address
10852 DECOY LN, CHESTERFIELD, VA 23832-7921
(804) 874-2303
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
VA
Other
Enumeration date
11/02/2023
Last updated
11/02/2023
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