| Doctor Name: | BABITHA JACOB |
| NPI Number: | 1265607782 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT |
| License Number: | 5501011959 |
| Business Practice Address: | 44000 W 12 Mile Rd Suite 205 Novi, MI - 483772647 |
| Business Phone Number: | 2484650100 |
| Business Fax Number: | 2484650107 |
| Mailing Address: | 1560 E Maple Rd, Suite 400 - Credentialing Department TROY |
| State: | MI |
| Postal Code: | 480831189 |
| Phone Number: | 2484650100 |
| Fax Number: | |
| NPI Enumeration Date: | 04/25/2008 |
| NPI Last Update Date: | 02/10/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 5501011959 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |