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Individual

MS. JEANNE JACOBS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, PA-C

Contact information

Practice address
21 TOTMAN ST, FIRST FLOOR, QUINCY, MA 02169-7564
(617) 770-4167
(617) 770-0971
Mailing address
104 QUARRY STREET, FIRST FLOOR, QUINCY, MA 02169-7564
(617) 770-4167
(617) 770-0971

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
18146
MA
363AM0700X
Medical Physician Assistant
Primary
PA4272
MA

Other

Enumeration date
03/03/2008
Last updated
11/29/2011
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