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THUY DUONG LY JACOBSON DPT

>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1114522596

Individual Registrant:
 THUY DUONG LY JACOBSON DPT
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

Contact information for business:
25129 THE OLD RD STE 100  STEVENSON RANCH, CA 91381-2281 US
Tel: 661-284-1984  Fax: 661-284-1991

Registration Information:
NPI: 1114522596
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
CA299603

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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