Individual
JACOB CENTALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
31815 8 MILE RD, LIVONIA, MI 48152-4216
(231) 923-6349
Mailing address
31815 8 MILE RD, LIVONIA, MI 48152-4216
(231) 923-6349
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501019437
MI
Other
Enumeration date
01/16/2020
Last updated
01/21/2025
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