Mary Beth Jacobson, PTA Valid NPI

Individual provider · Physical Therapy Assistant · North Freedom, WI

NPI

1992817928

Type

Individual (Type 1)

Primary specialty

Physical Therapy Assistant

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

225200000X

License number

#681-019 (WI)

Sex

Female

Sole proprietor

Yes

Enumerated

2006-08-31

Last updated

2007-07-08