Individual
SHANA JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
890 N GREEN ST STE A, BROWNSBURG, IN 46112-1031
(317) 520-5479
Mailing address
2001 BUTTERFIELD RD STE 1600, DOWNERS GROVE, IL 60515-1211
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
LPT-034506
AZ
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
09/06/2022
Last updated
01/07/2026
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