# HIGHLANDS PHYSICIAL MEDICINE AND REHABILITATION, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326088097
- **Authorized official:** JACOB P JACOB MD (OWNER)
- **Authorized official phone:** (970) 619-3400

## Contact information

- **Practice address:** 4100 UNION ST, LOVELAND, CO 80538
- **Practice address phone:** (970) 619-3400
- **Mailing address:** 1175 58TH AVE, STE 202, GREELEY, CO 80634-4807
- **Mailing address phone:** (970) 495-0300
- **Mailing address fax:** (970) 224-9624

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 43793 | CO | Yes |

## Other

- **Enumeration date:** 06/08/2006
- **Last updated:** 02/27/2008