Individual
DOLAN T JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1 PEARL ST STE 1700, BROCKTON, MA 02301-2865
(508) 427-0525
(774) 223-5017
Mailing address
1 CREDIT UNION WAY FL 3, RANDOLPH, MA 02368-4633
(781) 961-3370
(781) 961-1291
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
23818
MA
Other
Enumeration date
08/22/2018
Last updated
08/22/2018
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