Individual
CHARLES FRANCIS JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2650 SAINT MATTHEWS RD, ORANGEBURG, SC 29118-1344
(803) 536-5509
Mailing address
2001 BUTTERFIELD RD STE 1600, DOWNERS GROVE, IL 60515-1211
(866) 370-8206
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13035
SC
225100000X
Physical Therapist
J1-0014962
DE
Other
Enumeration date
10/01/2024
Last updated
08/22/2025
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