Individual
JIBI JACOB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1650 REPUBLIC PKWY STE 103, MESQUITE, TX 75150-6926
(972) 698-1140
(972) 681-8753
Mailing address
1650 REPUBLIC PKWY STE 103, MESQUITE, TX 75150-6926
(972) 698-1140
(972) 681-8753
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
1248729
TX
Other
Enumeration date
08/19/2014
Last updated
08/19/2014
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