LYDIA JACOBSON

BOISE, ID
NPI1336712124
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: ID  PT-7376)
Enumeration Date2021-07-20
Last Update Date2021-07-20
Business Address
LYDIA JACOBSON DPT
717 N LIBERTY ST
BOISE, ID 83704-9342
Phone number: 208-367-8989
Mailing Address
LYDIA JACOBSON DPT
4002 W PEAK CLOUD DR
MERIDIAN, ID 83642-5377
Phone number: 701-306-2946