Individual
TERENCE JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
47 S WASHINGTON AVE, BERGENFIELD, NJ 07621-2324
(201) 384-2525
(201) 384-2625
Mailing address
11 EAGLE ROCK AVE, SUITE 102, EAST HANOVER, NJ 07936-3167
(973) 887-9000
(973) 887-3816
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QA01472100
NJ
Other
Enumeration date
12/03/2012
Last updated
12/03/2012
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