Provider Demographics
NPI:1982729547
Name:JACQUES GERMA PHYSICAL THERAPY PLLC
Entity Type:Organization
Organization Name:JACQUES GERMA PHYSICAL THERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:JACQUES
Authorized Official - Middle Name:
Authorized Official - Last Name:GERMA
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:734-717-1690
Mailing Address - Street 1:3220 DUNWOODIE RD
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48105-4113
Mailing Address - Country:US
Mailing Address - Phone:734-717-1690
Mailing Address - Fax:734-998-0492
Practice Address - Street 1:3220 DUNWOODIE RD
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48105-4113
Practice Address - Country:US
Practice Address - Phone:734-717-1690
Practice Address - Fax:734-998-0492
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy