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1245474774
JACK JACOBS
LOUISVILLE, KY
NPI
1245474774
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2251G0304X Physical Therapist, Geriatrics
(Licence: KY 005251)
Enumeration Date
2009-04-28
Last Update Date
2009-04-28
Business Address
Mr. JACK JACOBS PT/DPT
2000 NEWBURG RD
LOUISVILLE, KY 40205-1803
Phone number: 502-459-9681
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Mailing Address
Mr. JACK JACOBS PT/DPT
1900 ARBORO PL
LOUISVILLE, KY 40220-3576
Phone number: 502-298-4932
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