| NPI | 1659968337 |
|---|---|
| Other Name | KATHERINE ANN JACOB |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0019174) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 046818) |
| Enumeration Date | 2020-12-28 |
| Last Update Date | 2023-07-09 |