NPI 1134842784

Jacquelyn O Jacobs

Practitioner Physical Therapy Assistant Mishawaka, IN

Practice location

Address: 3630 Hickory Rd, Mishawaka, IN 46545-8865
Phone: (574) 252-7225
Mailing address: 1609 S 15th St, Goshen, IN 46526-4558

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X

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Registry record

NPI: 1134842784
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Sep 2022
Record last updated: 20 Sep 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.