Eliza Jacob

NPI #1699209007 in Addison, Illinois

Provider Information

NPI Number: 1699209007
Entity Type: Individual
Name: Eliza Jacob
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Apr 13, 2017
Last Updated: Apr 13, 2017

Practice Location

Address: 410 E FAY AVE
City: Addison
State: Illinois
ZIP Code: 60101-6502
Phone: (630) 294-3648

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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