Individual provider · Type 1 NPI

Holly Jacobsen, PTA

Physical Therapy Clinic/Center · Richmond, VA

NPI number 1124416920 Active

Practice location

15075 Capital One Dr
Richmond, VA 23238-1122

Fax (804) 548-2035

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Clinic/Center Primary 261QP2000X225200000X (VA)

Physical Therapy Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care p…

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About NPI 1124416920

Holly Jacobsen, PTA's National Provider Identifier is 1124416920, issued on Dec 31, 2014. The primary taxonomy on file is Physical Therapy Clinic/Center (261QP2000X), and the practice location is in Richmond, VA. The record was last updated on Dec 31, 2014.