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Individual

CALLIE JACOBS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
10701 NALL AVE, SUITE 130, OVERLAND PARK, KS 66211-1363
(913) 663-2634
Mailing address
10701 NALL AVE, SUITE 130, OVERLAND PARK, KS 66211-1363
(913) 663-2634

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-02862
KS

Other

Enumeration date
11/17/2015
Last updated
11/17/2015
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