Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jibu Jacob

Individual provider Physical Therapy Clinic/Center · NPI 1497259055

Jibu Jacob is a Physical Therapy Clinic/Center in Waterford, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2018
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Practice location Address checks out

1901 N Telegraph Rd
Waterford, MI 48328-1878
Phone: (248) 836-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Clinic/Center (primary) Taxonomy 261QP2000X · Licence 5501014216 (MI)

Record details

NPI number1497259055
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 20, 2018
Last updated in NPPESMarch 20, 2018
Mailing address42265 Arcadia Dr, Sterling Heights, MI 48313-2605

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