Individual
CHARLE JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
13123 E 16TH AVE, AURORA, CO 80045-7106
(720) 777-7428
Mailing address
13123 E 16TH AVENUE, AURORA, CO 80045
(720) 777-7428
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PTL0003402
CO
Other
Enumeration date
01/26/2017
Last updated
01/26/2017
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