Individual
MRS. JENNIE JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
535 N WILMOT RD, CHILDREN'S MULTISPECIALTY CENTER: NEWBORN FOLLOW UP, TUCSON, AZ 85711-2600
(520) 694-9988
Mailing address
1501 N CAMPBELL AVE, THERAPY SERVICES, TUCSON, AZ 85724-0001
(520) 694-6341
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
9433
AZ
Other
Enumeration date
08/06/2015
Last updated
08/06/2015
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