Individual
DARYL CLAYTON JACOBS II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT, MTC, ATC
Contact information
Practice address
8045 SPYGLASS HILL RD, SUITE 103, MELBOURNE, FL 32940-8567
(321) 757-5515
Mailing address
8045 SPYGLASS HILL RD, SUITE 103, MELBOURNE, FL 32940-8567
(321) 757-5515
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT19737
FL
Other
Enumeration date
08/14/2006
Last updated
08/09/2012
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