Individual
JACOB YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
5460 W ROLLING HILLS DR, BRIDGEPORT, MI 48722-9668
(989) 272-4500
Mailing address
5620 BLOOMFIELD DR, MIDLAND, MI 48642-3272
(734) 652-7777
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5501017310
STATE LICENSE
MI
Enumeration date
04/29/2015
Last updated
10/09/2023
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