Organization
ELITE PHYSICAL THERAPY AND WELLNESS
Active
Organization
ELITE PHYSICAL THERAPY AND WELLNESS
Active
Other names
Jacob Elite Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY JOHN JACOB D.P.T. (EXECUTIVE OFFICER)
(810) 441-3033
Entity
Organization
Contact information
Practice address
4053 S LAPEER RD, SUITE C, METAMORA, MI 48455-8721
(810) 678-3202
(810) 678-3205
Mailing address
4053 S LAPEER RD, SUITE C, METAMORA, MI 48455-8721
(810) 678-3202
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
5501011436
MI
Other
Enumeration date
01/18/2007
Last updated
04/02/2014
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