JIM JACOB

PLYMOUTH, IN
NPI1790767887
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IN  05008652A)
Enumeration Date2005-11-15
Last Update Date2007-07-08
Business Address
Mr. JIM JACOB PT
900 W JEFFERSON ST
PLYMOUTH, IN 46563-1634
Phone number: 574-936-9600
Mailing Address
Mr. JIM JACOB PT
PO BOX 308
MISHAWAKA, IN 46546-0308
Phone number: 574-273-6546
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