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Russell Jacobs JR.
Rehabilitation Practitioner in Van Nuys, California
NPI 1609572585

Russell Jacobs JR. is a Rehabilitation Practitioner based in Van Nuys, CA. Russell Jacobs JR. practices in Van Nuys, CA. The NPI Number for Russell Jacobs JR. is 1609572585 and holds a License No. (California).

The current practice location address for Russell Jacobs JR. is 16650 Sherman Way, Van Nuys, CA and can be reached out via phone at 818-901-4836 and via fax at 818-376-0044.

Location: 16650 Sherman Way, Van Nuys, CA, 91401-2332
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609572585
Provider Name
Russell Jacobs JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
16650 Sherman Way, Van Nuys, CA, 91401-2332
Phone Number
818-901-4836
Fax Number
818-376-0044
Provider Enumeration Date
02/02/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
16650 Sherman Way
City
Van Nuys
State
California
Zip
91406-3782
Phone Number
818-901-4836
Fax Number
818-376-0044
person
Provider Business Mailing Address Details
Address
16650 Sherman Way
City
Van Nuys
State
California
Zip
91406-3782
Phone Number
818-901-4836
Fax Number
818-376-0044
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Rehabilitation Practitioner
Speciality
-
Taxonomy
225400000X
License No.
(California)
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
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