Individual
DREW JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
16620 LAKEVILLE CROSSING, WESTFIELD, IN 46074
(317) 804-9192
Mailing address
16620 LAKEVILLE CROSSING, WESTFIELD, IN 46074
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06004342A
IN
Other
Enumeration date
11/19/2011
Last updated
11/19/2011
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