Individual
CHAD ALAN JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPTA
Contact information
Practice address
2404 9 MILE RD, KAWKAWLIN, MI 48631-9784
(989) 326-5602
Mailing address
2404 9 MILE RD, KAWKAWLIN, MI 48631-9784
(989) 326-5602
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502000705
MI
Other
Enumeration date
03/13/2016
Last updated
03/13/2016
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