Individual
JACOB AUGUST NOVAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
17110 W GREENFIELD AVE STE 7, BROOKFIELD, WI 53005-6947
(262) 297-9414
Mailing address
276 LAKEVIEW DR APT 4, HARTLAND, WI 53029-1630
(734) 904-3323
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1645024
WI
Other
Enumeration date
07/13/2023
Last updated
07/18/2023
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