Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JIBU JACOB
Active Sole ProprietorJIBU JACOB is a Physical Therapy Clinic healthcare provider located in WATERFORD, Michigan. NPI 1497259055 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Clinic · WATERFORD, MI
Registration Details
- NPI Number
- 1497259055
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 20, 2018 (8.4203287313865 yrs)
- Last Updated
- Mar 20, 2018
- License
-
5501014216 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1901 N TELEGRAPH RDWATERFORD, MI, 483281878Browse MI providers · Browse ZIP 48328
- Phone
- 2488361000
- Primary Specialty
-
Physical Therapy Clinic
261QP2000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.