Individual
BESTINJOHN KANJIRACAL JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2620A GASKINS RD, HENRICO, VA 23238-1402
(804) 396-6753
(888) 815-8184
Mailing address
350 NEW FIDELITY CT, GARNER, NC 27529-2665
(919) 258-2714
(410) 648-4878
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305214568
VA
Other
Enumeration date
07/09/2021
Last updated
03/28/2022
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