Individual
JAIMON JACOB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
596 DAKOTA CT, ROCHESTER HILLS, MI 48307-2880
(248) 961-8798
Mailing address
596 DAKOTA CT, ROCHESTER HILLS, MI 48307-2880
(248) 961-8798
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501013218
MI
Other
Enumeration date
01/18/2017
Last updated
01/18/2017
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