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Individual

DR. JEFFREY JOHN JACOB

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.P.T.

Contact information

Practice address
4053 S LAPEER RD, SUITE C, METAMORA, MI 48455-8721
(810) 441-3033
(810) 678-3936
Mailing address
4053 S LAPEER RD, SUITE C, METAMORA, MI 48455-8721
(810) 441-3033
(810) 678-3205

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501011436
MI

Other

Enumeration date
12/05/2006
Last updated
12/31/2013
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