Individual
DR. ASHA JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.T., W.C.C.
Contact information
Practice address
900 FRANKLIN AVE, VALLEY STREAM, NY 11580-2145
(516) 256-6000
Mailing address
900 FRANKLIN AVE, VALLEY STREAM, NY 11580-2145
(516) 256-6000
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
026353-1
NY
Other
Enumeration date
05/26/2006
Last updated
10/03/2014
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