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Individual

KIMBERLY ANN JACOB

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
1685 S 21ST ST, COLORADO SPRINGS, CO 80904-5123
(719) 329-1774
Mailing address
P. O. BOX 77132, COLORADO SPRINGS, CO 80970
(719) 201-0543

Taxonomy

Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
6841
CO

Other

Enumeration date
07/07/2011
Last updated
07/07/2011
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