Individual
MR. JOSEF BEETHOVEN JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.T.
Contact information
Practice address
350 AUSTIN GRAYBILL RD, NORTH AUGUSTA, SC 29860-9251
(803) 278-4272
(803) 278-1794
Mailing address
350 AUSTIN GRAYBILL RD, NORTH AUGUSTA, SC 29860-9251
(803) 278-4272
(803) 278-1794
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4792
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TH1627
—
SC
Enumeration date
06/10/2006
Last updated
07/09/2007
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