Individual
JACOB LEBERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
10047 CROSSROAD CT SE STE 150, CALEDONIA, MI 49316-7317
(616) 233-3597
Mailing address
625 KENMOOR AVE SE STE 100, GRAND RAPIDS, MI 49546-2395
(616) 356-5000
(616) 356-5001
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501019620
MI
Other
Enumeration date
06/07/2021
Last updated
04/13/2022
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