Individual
JACOB JOHN KLEBAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, CSCS
Contact information
Practice address
6236 HOLLY SPRINGS PKWY STE D8, WOODSTOCK, GA 30188-2426
(770) 800-6770
(770) 800-1223
Mailing address
33900 HARPER AVE STE 104, CLINTON TWP, MI 48035-4258
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT017332
GA
Other
Enumeration date
08/30/2024
Last updated
09/03/2024
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