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THUY DUONG LY JACOBSON DPT
>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1114522596
Individual Registrant: THUY DUONG LY JACOBSON DPT
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
25129 THE OLD RD STE 100 STEVENSON RANCH, CA 91381-2281 US
Tel: 661-284-1984 Fax: 661-284-1991
Tel: 661-284-1984 Fax: 661-284-1991
Contact information for business:
25129 THE OLD RD STE 100 STEVENSON RANCH, CA 91381-2281 US
Tel: 661-284-1984 Fax: 661-284-1991
Tel: 661-284-1984 Fax: 661-284-1991
Registration Information:
NPI: 1114522596
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapist | CA | 299603 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
