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NPI Code Detail

MEDICARE: ROSA MARIE JACOBS PT

MEDICARE: ROSA MARIE JACOBS PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12251G0304XGeriatric Physical Therapist1029353TX

General Provider Information

NPI Number : 1447730080
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROSA MARIE JACOBS PT
Provider Business Mailing Address
First Line : 3810 SENNA PL
Second Line :
City : SUGAR LAND
State : TX
Zip : 77479-2814
Country : US
Telephone Number : 281-980-8218
Fax Number :
Provider Business Practice Location Address
First Line : 3640 HAMPTON DR
Second Line :
City : MISSOURI CITY
State : TX
Zip : 77459-3016
Country : US
Telephone Number : 281-778-5144
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/14/2018
Last Update Date : 08/14/2018

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Directions to “ ROSA MARIE JACOBS PT” Practice Location

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