Individual
JACOB B MCILWAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1022 HIGHWAY 51 STE 300, MADISON, MS 39110-7216
(601) 572-3818
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(423) 777-6236
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT6975
MS
Other
Enumeration date
04/05/2021
Last updated
06/08/2023
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