ANTONY THEKKUMPURAM JACOB

DAYTON, OH
NPI1609871417
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
(Licence: OH  35.058320)
Enumeration Date2005-06-17
Last Update Date2014-08-18
Business Address
-- ANTONY THEKKUMPURAM JACOB MD
30 E APPLE ST STE L200
DAYTON, OH 45409-2932
Phone number: 937-208-2020
Mailing Address
-- ANTONY THEKKUMPURAM JACOB MD
30 E APPLE ST STE L200
DAYTON, OH 45409-2932
Phone number: 937-208-2020
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