RICHARD DEAN JACOBS

MOOSE LAKE, MN
NPI1851544290
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: MN  2412)
Enumeration Date2008-10-29
Last Update Date2008-10-29
Business Address
-- RICHARD DEAN JACOBS PT
710 S KENWOOD AVE
MOOSE LAKE, MN 55767-9405
Phone number: 218-485-5634
Mailing Address
-- RICHARD DEAN JACOBS PT
710 S KENWOOD AVE
MOOSE LAKE, MN 55767-9405
Phone number: 218-485-5634