ELLICIA JACOBS

LORTON, VA
NPI1407224934
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: VA  2305209780)
Enumeration Date2015-09-15
Last Update Date2015-09-15
Business Address
-- ELLICIA JACOBS PT,DPT
9447B LORTON MARKET ST SUITE 250
LORTON, VA 22079-1963
Phone number: 703-372-5716
Mailing Address
-- ELLICIA JACOBS PT,DPT
9447B LORTON MARKET ST SUITE 250
LORTON, VA 22079-1963
Phone number: