Antony Thekkumpuram Jacob, MD

NPI #1609871417 in Dayton, Ohio

Provider Information

NPI Number
1609871417
Entity Type
Individual
Name
Antony Thekkumpuram Jacob, MD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Medicine & Rehabilitation
Credential
MD
Enumeration Date
Jun 17, 2005
Last Updated
Aug 18, 2014

Practice Location

Address
30 E APPLE ST
Address 2
STE L200
City
Dayton
State
Ohio
ZIP Code
45409-2932
Phone
(937) 208-2020

Specialties & Taxonomy Codes

Specialty
Physical Medicine & Rehabilitation

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