JIBU JACOB

WATERFORD, MI
NPI1497259055
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy261QP2000X Clinic/Center, Physical Therapy
(Licence: MI  5501014216)
Enumeration Date2018-03-20
Last Update Date2018-03-20
Business Address
JIBU JACOB
1901 N TELEGRAPH RD
WATERFORD, MI 48328-1878
Phone number: 248-836-1000
Mailing Address
JIBU JACOB
42265 ARCADIA DR
STERLING HEIGHTS, MI 48313-2605
Phone number: 586-218-0225
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