Individual
BABITHA JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
44000 W 12 MILE RD, SUITE 205, NOVI, MI 48377-2647
(248) 465-0100
(248) 465-0107
Mailing address
1560 E MAPLE RD, SUITE 400 - CREDENTIALING DEPARTMENT, TROY, MI 48083-1189
(248) 465-0100
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501011959
MI
Other
Enumeration date
04/25/2008
Last updated
02/10/2015
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