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1215709696
JACOB PERICAK
MILWAUKEE, WI
NPI
1215709696
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WI 15823-24)
Enumeration Date
2023-10-27
Last Update Date
2023-10-27
Business Address
JACOB PERICAK DPT
900 N 92ND ST
MILWAUKEE, WI 53226-1202
Phone number: 414-805-3000
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Mailing Address
JACOB PERICAK DPT
17434 W CLEVELAND AVE
NEW BERLIN, WI 53146-2205
Phone number: 262-349-2252
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