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Individual

JACOB GALLUCCI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
1469 N ROCHESTER RD, ROCHESTER HILLS, MI 48307-1122
(248) 289-5447
Mailing address
1773 STAR BATT DR, ROCHESTER HILLS, MI 48309-3708
(248) 601-9207

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501019956
MI

Other

Enumeration date
03/26/2021
Last updated
03/26/2021
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