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1063753671
MICHAEL LEE JACOBS
CRANSTON, RI
NPI
1063753671
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: RI 2492)
Enumeration Date
2013-03-06
Last Update Date
2013-03-06
Business Address
Dr. MICHAEL LEE JACOBS PT, DPT
1150 RESERVOIR AVE SUITE 103
CRANSTON, RI 02920-6068
Phone number: 401-942-2625
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Mailing Address
Dr. MICHAEL LEE JACOBS PT, DPT
370 HILL ST
COVENTRY, RI 02816-7725
Phone number: 401-823-6724
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LEPRE PHYSICAL THERAPY CONTRACT SERVICES, LLC