Individual
BONNIE JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
455 ROUTE 9, MANALAPAN, NJ 07726-8274
(732) 617-8090
(732) 972-5458
Mailing address
27 CHAGALL RD, MARLBORO, NJ 07746-2408
(732) 866-4451
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01396600
NJ
Other
Enumeration date
05/31/2013
Last updated
05/31/2013
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