Individual
DR. PERI JEAN JACOBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
10402 GLENMARY FARM DR, LOUISVILLE, KY 40291-4038
(502) 239-5286
Mailing address
10402 GLENMARY FARM DRIVE, LOUISVILLE, KY 40291
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1093
KY
Other
Enumeration date
11/19/2011
Last updated
11/19/2011
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