Individual
DR. KIMBERLY FAENZI JACOBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT, PT
Contact information
Practice address
16620 LAKEVILLE XING, WESTFIELD, IN 46074-8206
(317) 370-0988
Mailing address
16620 LAKEVILLE XING, WESTFIELD, IN 46074-8206
(317) 370-0988
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05009296A
IN
Other
Enumeration date
03/25/2008
Last updated
07/29/2008
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