Individual
BRIAN JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 GLENVIEW PL, NAPLES, FL 34108-3137
(239) 591-0011
Mailing address
8626 MUSTANG DR, NAPLES, FL 34113-2660
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
26500
FL
Other
Enumeration date
06/25/2018
Last updated
06/25/2018
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