Individual
ELISABETH JAKOBSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
8174 LARK BROWN RD, SUITE 101, ELKRIDGE, MD 21075-6426
(410) 799-9988
(410) 799-9986
Mailing address
8186 LARK BROWN RD, STE 201, ELKRIDGE, MD 21075-6434
(410) 730-3399
(443) 478-4726
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
18898
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2107250
MAMSI
MD
01
—
3291921
AETNA
MD
01
—
6545-0013
BLUE CHOICE
MD
01
—
7857450
AETNA
MD
Enumeration date
09/26/2005
Last updated
05/21/2018
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