Individual
NAYANA JACOB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
102 NIGHT HERON LN, MIDDLETOWN, DE 19709-2209
(847) 504-9310
Mailing address
102 NIGHT HERON LN, MIDDLETOWN, DE 19709-2209
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
J20001351
DE
Other
Enumeration date
02/16/2022
Last updated
02/16/2022
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