Samantha Marie Jacobs, M.S.P.T.
Physical Therapist in Sebastopol, CA. Individual provider (NPI-1).
NPI number1306988712
StatusActive
Last updated in NPPESOct 19, 2007
Details
- NPI
- 1306988712
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Samantha Marie Jacobs
- Credential
- M.S.P.T.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 13, 2007
- Last updated
- Oct 19, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PT28295 | CA | Yes |
Practice location
100 Pleasant Hill Ave NSebastopol, CA 95472-3104
Phone 707-829-3282 · Fax 707-829-3287
Mailing address
100 Pleasant Hill Ave NSebastopol, CA 95472-3104
Phone 707-829-3282 · Fax 707-829-3287
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