Individual
MARIE JACOBSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6040 S 58TH ST STE C, LINCOLN, NE 68516-3695
(402) 421-1167
(402) 421-1167
Mailing address
6040 S 58TH ST STE C, LINCOLN, NE 68516-3695
(402) 421-1167
(402) 421-1167
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
260
NE
Other
Enumeration date
06/17/2014
Last updated
06/17/2014
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