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NPI Code Detail

MEDICARE: CHRISTINE HO JACOBS DPT

MEDICARE: CHRISTINE HO JACOBS DPT
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
1225100000XPhysical Therapist23052044569VA

General Provider Information

NPI Number : 1699726950
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINE HO JACOBS DPT
Provider Business Mailing Address
First Line : 1418 N RHODES ST
Second Line : UNIT 408
City : ARLINGTON
State : VA
Zip : 22209-2881
Country : US
Telephone Number : 703-203-5670
Fax Number :
Provider Business Practice Location Address
First Line : 7430 SPRING VILLAGE DR
Second Line :
City : SPRINGFIELD
State : VA
Zip : 22150-4446
Country : US
Telephone Number : 703-923-4684
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/12/2006
Last Update Date : 05/17/2013

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Directions to “ CHRISTINE HO JACOBS DPT” Practice Location

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