Doctor Name: | CHERYL JACOBS |
NPI Number: | 1215045364 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 220 N Sykes Creek Pkwy Ste 300 Merritt Island, FL - 329533490 |
Business Phone Number: | 3214590303 |
Business Fax Number: | |
Mailing Address: | 1228 Potomac Dr, MERRITT ISLAND |
State: | FL |
Postal Code: | 329527221 |
Phone Number: | 4074499853 |
Fax Number: | |
NPI Enumeration Date: | 08/28/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |