Individual provider · Type 1 NPI
Randy F. Jacobson, P.T.
Pediatric Physical Therapist · Santa Monica, CA
Practice location
2901 Wilshire Blvd, Suite 319
Santa Monica, CA 90403-4901
Fax (310) 582-1165
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Physical Therapist Primary | 2251P0200X | PT9831 (CA) |
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 1770527939
Randy F. Jacobson, P.T.'s National Provider Identifier is 1770527939, issued on Jun 16, 2006. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Santa Monica, CA. The record was last updated on Sep 22, 2008.