Individual
JACOB FICKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1103 COLONIAL CT, HOLLAND, MI 49423-5232
(616) 990-5701
Mailing address
1103 COLONIAL CT, HOLLAND, MI 49423-5232
(616) 990-5701
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502002938
MI
Other
Enumeration date
10/10/2022
Last updated
10/10/2022
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