Individual
MARINEL JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
14605 POTOMAC BRANCH DR, SUITE #300, WOODBRIDGE, VA 22191-3336
(703) 490-1330
(703) 878-8735
Mailing address
14605 POTOMAC BRANCH DR, SUITE #300, WOODBRIDGE, VA 22191-3336
(703) 490-1330
(703) 878-8735
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305206590
VA
Other
Enumeration date
08/05/2010
Last updated
07/31/2013
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