Individual
JACOB PERICAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
900 N 92ND ST, MILWAUKEE, WI 53226-1202
(414) 805-3000
Mailing address
17434 W CLEVELAND AVE, NEW BERLIN, WI 53146-2205
(262) 349-2252
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
15823-24
WI
Other
Enumeration date
10/27/2023
Last updated
10/27/2023
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