Justin Jacob, PT
Physical Therapist in Teaneck, NJ. Individual provider (NPI-1).
NPI number1982107694
StatusActive
Last updated in NPPESMar 9, 2018
Details
- NPI
- 1982107694
- Entity type
- Individual (NPI-1)
- Name
- Mr. Justin Jacob
- Credential
- PT
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 9, 2018
- Last updated
- Mar 9, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 40QA01618200 | NJ | Yes |
Practice location
870 Palisade Ave Ste 205Teaneck, NJ 07666-3445
Phone 201-833-3000
Mailing address
718 Teaneck RdTeaneck, NJ 07666-4245
Phone 201-833-3000
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All 59 Physical Therapist providers in Teaneck · All 1,965 providers in Teaneck
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