Individual
JACOB FLOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
1675 LANCE POINTE RD, MAUMEE, OH 43537-1603
(419) 559-5591
Mailing address
1951 HUNTERS RUN, HOLLAND, OH 43528-8200
(419) 690-9994
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
05/15/2023
Last updated
05/15/2023
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