Individual
AMBER JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1102 LIBERTY ST SE, CHATFIELD, MN 55923-1448
(507) 867-3199
Mailing address
6895 GAILLARDIA DR NW, ROCHESTER, MN 55901-2781
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7124
MN
Other
Enumeration date
05/17/2018
Last updated
05/17/2018
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