Individual
JACOB S. VAN WYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
4801 W 81ST ST STE 112, BLOOMINGTON, MN 55437-1111
(952) 345-3000
(952) 345-6789
Mailing address
4801 W 81ST ST STE 112, BLOOMINGTON, MN 55437-1111
(952) 345-3000
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13660
MN
Other
Enumeration date
08/07/2025
Last updated
08/07/2025
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