Search › Virginia › 261QP2000X
Holly Jacobsen, PTA
NPI 1124416920 · on the registry since 2014 · sole proprietor
Practice
- Address
- 15075 Capital One Dr
Richmond, VA 23238 - Phone
- (804) 855-6000
- Fax
- (804) 548-2035
- Organisation at this address
- Premise Health Of Virginia Medical Pc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 261QP2000X
261QP2000X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-12-31
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia