Individual
SAMANTHA MARY JACOBSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
119 W 23RD ST FL 3, NEW YORK, NY 10011-2427
(212) 486-8573
Mailing address
119 W 23RD ST FL 3, NEW YORK, NY 10011-2427
(212) 486-8573
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
045687
NY
Other
Enumeration date
02/17/2020
Last updated
02/17/2020
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