Individual
LISA JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Contact information
Practice address
524 IRVING ST NW, WASHINGTON, DC 20010-2904
(202) 291-2100
Mailing address
524 IRVING ST NW, WASHINGTON, DC 20010-2904
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT870359
DC
Other
Enumeration date
03/06/2007
Last updated
07/08/2007
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