Individual
MRS. MARISA KNOBE JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 BLAKE BLVD, PINEHURST, NC 28374-8474
(910) 295-6158
Mailing address
300 BLAKE BLVD, PINEHURST, NC 28374-8474
(910) 295-6158
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
6095
NC
Other
Enumeration date
09/06/2016
Last updated
09/06/2016
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