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1982107694
JUSTIN JACOB
TEANECK, NJ
NPI
1982107694
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NJ 40QA01618200)
Enumeration Date
2018-03-09
Last Update Date
2018-03-09
Business Address
Mr. JUSTIN JACOB PT
870 PALISADE AVE STE 205
TEANECK, NJ 07666-3445
Phone number: 201-833-3000
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Mailing Address
Mr. JUSTIN JACOB PT
718 TEANECK RD
TEANECK, NJ 07666-4245
Phone number: 201-833-3000
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