Individual provider · Type 1 NPI

Jennie Jacob

Pediatric Physical Therapist · Tucson, AZ

NPI number 1255717773 Active

Practice location

535 N Wilmot Rd, Children's Multispecialty Center: Newborn Follow Up
Tucson, AZ 85711-2600

Mailing address

1501 N Campbell Ave, Therapy Services
Tucson, AZ 85724-0001

Specialties and licenses

TaxonomyCodeLicense
Pediatric Physical Therapist Primary 2251P0200X9433 (AZ)

Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…

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About NPI 1255717773

Jennie Jacob's National Provider Identifier is 1255717773, issued on Aug 6, 2015. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Tucson, AZ. The record was last updated on Aug 6, 2015.