JAMES JACOB

PEWAUKEE, WI
NPI1780235093
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: WI  14854)
Enumeration Date2019-09-27
Last Update Date2019-09-27
Business Address
JAMES JACOB DPT
2835 N GRANDVIEW BLVD STE 100
PEWAUKEE, WI 53072-5546
Phone number: 262-574-1100
Mailing Address
JAMES JACOB DPT
790 REMINGTON BLVD
BOLINGBROOK, IL 60440-4909
Phone number: 630-296-2222
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