CHARLES JACOB

DOVER, DE
NPI1073331807
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: DE  J1-0014962)
Enumeration Date2024-10-01
Last Update Date2024-10-01
Business Address
CHARLES JACOB
1288 S GOVERNORS AVE
DOVER, DE 19904-4802
Phone number: 302-677-0100
Mailing Address
CHARLES JACOB
790 REMINGTON BLVD
BOLINGBROOK, IL 60440-4909
Phone number: 866-370-8206