Individual
MRS. DEBORAH JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
430 KELE ST, STE 401, KAHULUI, HI 96732-3406
(808) 871-0900
Mailing address
430 KELE ST, STE 401, KAHULUI, HI 96732-3406
(808) 871-0900
(808) 871-9119
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
859
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06148903
—
HI
Enumeration date
10/17/2006
Last updated
12/26/2017
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