Individual provider · Type 1 NPI

Russell Jacobs Jr.

Rehabilitation Practitioner · Van Nuys, CA

NPI number 1609572585 Active

Practice location

16650 Sherman Way
Van Nuys, CA 91406-3782

Call (818) 901-4836 Map

Fax (818) 376-0044

Mailing address

13820 Victory Blvd Apt 206
Van Nuys, CA 91401-2332

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1609572585

Russell Jacobs Jr.'s National Provider Identifier is 1609572585, issued on Feb 2, 2023. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Van Nuys, CA. The record was last updated on Feb 2, 2023.