Individual
JACOB FREDERICK PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1451 SE 3RD ST STE 500, GRIMES, IA 50111-4849
(515) 986-5190
(515) 986-5194
Mailing address
600 OAKMONT LN STE 600C, WESTMONT, IL 60559-5548
(630) 575-6200
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004804
IA
Other
Enumeration date
06/24/2011
Last updated
02/18/2019
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