Individual
MRS. JOAN IRIS JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T., P.C.S.
Contact information
Practice address
1815 W 213TH ST, 100, TORRANCE, CA 90501-2800
(310) 328-0276
Mailing address
1815 W 213TH ST, 100, TORRANCE, CA 90501-2800
(310) 328-0276
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
8320
CA
Other
Enumeration date
02/21/2008
Last updated
02/21/2008
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