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NPI 1811669120

NPI 1811669120 : SARAH JACOBI DPT : WESTLAND, MI

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General NPI Number Information
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    NPI Number           |    1811669120
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    Entity Type          |    Individual 
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    Provider Name        |    SARAH JACOBI DPT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/05/2021
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    Last Update Date     |    12/18/2025
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Provider Practice Location Address
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    Address Line         |    761 S WAYNE RD 
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    City                 |    WESTLAND
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    State                |    MI
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    Zip                  |    48186-4364
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    Country              |    US
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    Telephone            |    734-713-0131
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    Fax                  |    734-725-0946
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Provider Business Mailing Address
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    Address Line         |    2122 YORK RD STE 300 
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    City                 |    OAK BROOK
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    State                |    IL
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    Zip                  |    60523-1925
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    Country              |    US
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    Telephone            |    630-575-6200
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    64251
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    License Number State |    OR
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Taxonomy #2
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    PT61476545
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    License Number State |    WA
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Taxonomy #3
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    
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    License Number State |    MI
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