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Jibu Jacob
NPI 1497259055 · on the registry since 2018 · sole proprietor
Practice
- Address
- 1901 N Telegraph Rd
Waterford, MI 48328 - Phone
- (248) 836-1000
- Organisation at this address
- Northern Oak Management Company, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 10
Registry record
- Primary taxonomy
- Physical Therapy Clinic/Center
261QP2000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-03-20
- Status
- Not present in the most recent federal file
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan