KEN R JACOBS

FLAGSTAFF, AZ
NPI1447476775
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: AZ  1131)
Enumeration Date2007-04-17
Last Update Date2007-07-08
Business Address
Mr. KEN R JACOBS PT,MA
3285 E SPARROW AVE
FLAGSTAFF, AZ 86004-7794
Phone number: 928-627-6163
Mailing Address
Mr. KEN R JACOBS PT,MA
18719 N BASE CAMP RD HART PRAIRIE
FLAGSTAFF, AZ 86001-9377
Phone number:
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