Individual
MR. JACOB U PALATHINKAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICAL THERAPIST
Contact information
Practice address
9803 WYDELLA ST, RIVERVIEW, FL 33569-9003
(813) 671-4557
Mailing address
9803 WYDELLA ST, RIVERVIEW, FL 33569-9003
(813) 671-4557
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
PT19537
FL
Other
Enumeration date
03/30/2012
Last updated
03/30/2012
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