Individual
DANIELLE JACOBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
75 WATERHOUSE RD, BOURNE, MA 02532-3899
(508) 759-0670
Mailing address
107 CHESTER ST, NORTH FALMOUTH, MA 02556-2414
(551) 206-0261
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
ATL22008
MA
Other
Enumeration date
08/12/2022
Last updated
11/11/2025
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