Jisna Jacob
Physical Therapist in Richmond, VA. Individual provider (NPI-1).
NPI number1265869549
StatusActive
Last updated in NPPESFeb 18, 2022
Details
- NPI
- 1265869549
- Entity type
- Individual (NPI-1)
- Name
- Jisna Jacob
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 2, 2013
- Certification date
- Feb 18, 2022
- Last updated
- Feb 18, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 2305204288 | VA | Yes |
Practice location
7015 Carnation StApt# 214
Richmond, VA 23225-5294
Phone 804-272-1927
Mailing address
7015 Carnation StApt# 214
Richmond, VA 23225-5294
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