Individual
TAMARA JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
535 E 70TH STREET, 2ND FLOOR OPTC PHYSICAL THERAPY, NEW YORK, NY 10021
(212) 606-1213
Mailing address
69 DIAMOND DR, PLAINVIEW, NY 11803-3026
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
039397
NY
Other
Enumeration date
12/03/2019
Last updated
04/22/2021
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