Individual
BINOY KEERIMUKALEL JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
816 N SILVERSMITH LN, NEWARK, DE 19702-6909
(847) 504-9310
Mailing address
816 N SILVERSMITH LN, NEWARK, DE 19702-6909
(847) 504-9310
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
25529
MD
225100000X
Physical Therapist
J1-0003678
DE
Other
Enumeration date
03/23/2017
Last updated
03/23/2017
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