Individual ProviderJacob L PerlmanOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address6201 Elmwood Ave, Middleton, WI 53562-3319(651) 274-8706PECOS EnrollmentBased on the most recent information from CMS, provider Jacob L Perlman does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:14 PM.Profile DetailsProvider ID1104351279Provider TypeIndividualFull NamePerlman, Jacob LGenderMaleSole ProprietorNoEnumeration Date4/26/2017Last Updated4/26/2017Contact InformationPractice LocationPractice Address6201 Elmwood Ave, Middleton, WI 53562-3319Phone(651) 274-8706FaxUnlisted FaxMailing LocationMailing Address1224 Jenifer St Apt 1, Madison, WI 53703-4842PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225X00000XPrimaryDescriptionOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense5952 - 26Wisconsin