JACOB VAN PELT

ESCANABA, MI
NPI1912572181
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MI  5502005850)
Enumeration Date2021-05-20
Last Update Date2021-05-20
Business Address
JACOB VAN PELT PTA
2415 5TH AVE S
ESCANABA, MI 49829-1201
Phone number: 906-786-6907
Mailing Address
JACOB VAN PELT PTA
106 PROVIDER ST
GWINN, MI 49841-2726
Phone number: 906-458-0015