Individual
ROBERT A JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
809 NEW HAVEN RD # R, DURHAM, CT 06422-2412
(860) 349-1041
Mailing address
90 BEECH ST, NORTH BRANFORD, CT 06471-1439
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
000903
CT
Other
Enumeration date
01/24/2012
Last updated
01/24/2012
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