Individual
JACOB BALASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT, PT
Contact information
Practice address
23852 MICHIGAN AVE, DEARBORN, MI 48124-1829
(313) 565-4222
(313) 565-8703
Mailing address
23852 MICHIGAN AVE, DEARBORN, MI 48124-1829
(313) 565-4222
(313) 565-8703
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501304363
MI
Other
Enumeration date
02/11/2026
Last updated
02/11/2026
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