Doctor Name: | MRS. DYAN MARIE JACOBSON |
NPI Number: | 1457324253 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHYSICALTHERAPISTMPT |
License Number: | 6156 |
Business Practice Address: | 1620 17th St Nw Faribault, MN - 550212839 |
Business Phone Number: | 5073322204 |
Business Fax Number: | 5073322270 |
Mailing Address: | 1205 2nd St Nw, ROCHESTER |
State: | MN |
Postal Code: | 559010360 |
Phone Number: | 5072884416 |
Fax Number: | |
NPI Enumeration Date: | 02/10/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 6156 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
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 |