Individual
JACOB ROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CAPRC
Contact information
Practice address
504 GRAND VALLEY BLVD, MARTINSVILLE, IN 46151-5883
(640) 529-7531
Mailing address
504 GRAND VALLEY BLVD, MARTINSVILLE, IN 46151-5883
(640) 529-7531
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
CAPRC1-6044
IN
Other
Enumeration date
09/06/2024
Last updated
09/06/2024
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