Provider Demographics
NPI:1962913079
Name:JACOB, SARAH (DPT, PT)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:JACOB
Suffix:
Gender:F
Credentials:DPT, PT
Other - Prefix:
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Mailing Address - Street 1:1 CREDIT UNION WAY FL 3
Mailing Address - Street 2:
Mailing Address - City:RANDOLPH
Mailing Address - State:MA
Mailing Address - Zip Code:02368-4633
Mailing Address - Country:US
Mailing Address - Phone:781-961-3370
Mailing Address - Fax:781-961-1291
Practice Address - Street 1:360 BROCKTON AVE STE 205
Practice Address - Street 2:
Practice Address - City:ABINGTON
Practice Address - State:MA
Practice Address - Zip Code:02351-2186
Practice Address - Country:US
Practice Address - Phone:781-878-5550
Practice Address - Fax:781-878-5472
Is Sole Proprietor?:No
Enumeration Date:2017-10-16
Last Update Date:2024-02-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA23092225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist