Individual
MR. MARVIN JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
8327 N ORACLE RD, TUCSON, AZ 85704-7313
(520) 325-4002
Mailing address
1991 E AJO WAY, STE 149, TUCSON, AZ 85713-6269
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
Other
Enumeration date
12/11/2017
Last updated
12/28/2017
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