Organization
JACOBO PHYSICAL THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRACIELA CHRISTINE JACOBO R.P.T. (OWNER)
(661) 631-8793
Entity
Organization
Contact information
Practice address
2441 G ST, BAKERSFIELD, CA 93301-2809
(661) 631-8793
(661) 631-9257
Mailing address
2441 G ST, BAKERSFIELD, CA 93301-2809
(661) 631-8793
(661) 631-9257
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT14574
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0PT145740
BLUE SHIELD OF CAL NUMBER
CA
05
—
PT0145740
—
CA
Enumeration date
07/16/2006
Last updated
06/03/2015
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