Individual
MS. JEANNE JACOBS
Active
Individual
MS. JEANNE JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, PA-C
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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