Doctor Name: | MRS. MELANIE ANN JACOBY |
NPI Number: | 1285746628 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 18878 |
Business Practice Address: | 672 Old Mill Rd Millersville, MD - 211081363 |
Business Phone Number: | 4107290630 |
Business Fax Number: | 4107290091 |
Mailing Address: | 202 Foxridge Ct, GLEN BURNIE |
State: | MD |
Postal Code: | 210616346 |
Phone Number: | 4107871874 |
Fax Number: | |
NPI Enumeration Date: | 08/31/2006 |
NPI Last Update Date: | 09/10/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 18878 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
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 |