Individual
MS. RANDY F. JACOBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
2901 WILSHIRE BLVD, SUITE 319, SANTA MONICA, CA 90403-4901
(310) 582-1190
(310) 582-1165
Mailing address
2901 WILSHIRE BLVD, SUITE 319, SANTA MONICA, CA 90403-4901
(310) 582-1190
(310) 582-1165
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT9831
CA
Other
Enumeration date
06/16/2006
Last updated
09/22/2008
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