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Individual
SHANA JACOB
Active
Individual
SHANA JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
LPT-034506
AZ
225100000X
Physical Therapist
PTL.0021425
CO
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
09/06/2022
Last updated
08/06/2026
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