Individual
JACOB MICHAEL PELAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2510 LAKE MICHIGAN DR NW, GRAND RAPIDS, MI 49504-8042
(616) 259-0408
Mailing address
6902 HIGHLAND DR E, ALLENDALE, MI 49401-8637
(616) 916-0286
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502006430
MI
Other
Enumeration date
05/19/2025
Last updated
05/19/2025
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