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Individual

MR. JIMI JACOB

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
915 CRENSHAW BLVD, LOS ANGELES, CA 90019-1938
(323) 937-5466
Mailing address
123 S FIGUEROA ST, APT 1839, LOS ANGELES, CA 90012-2469
(213) 271-7284

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
7807
CA

Other

Enumeration date
01/03/2015
Last updated
01/03/2015
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