Individual
BETH JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1700 13TH ST, EVERETT, WA 98201-1689
(425) 261-3825
Mailing address
4126 MISSION BEACH RD, TULALIP, WA 98271-9747
(425) 923-7944
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P160378705
WA
Other
Enumeration date
02/24/2016
Last updated
02/24/2016
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