Individual
JERRY JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
5060 DAVIS BLVD, N RICHLAND HILLS, TX 76180-7004
(817) 498-8585
Mailing address
5060 DAVIS BLVD, N RICHLAND HILLS, TX 76180-7004
(817) 498-8585
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
1337027
TX
Other
Enumeration date
10/07/2020
Last updated
10/07/2020
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