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1235474297
TERENCE JACOB
BERGENFIELD, NJ
NPI
1235474297
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NJ 40QA01472100)
Enumeration Date
2012-12-03
Last Update Date
2012-12-03
Business Address
TERENCE JACOB DPT
47 S WASHINGTON AVE
BERGENFIELD, NJ 07621-2324
Phone number: 201-384-2525
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Mailing Address
TERENCE JACOB DPT
11 EAGLE ROCK AVE SUITE 102
EAST HANOVER, NJ 07936-3167
Phone number: 973-887-9000
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