Registry details
Type
Individual
Primary specialty
Physical Therapist, Orthopedic
Enumerated
Jan 23, 2024
License(s)
—
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 238 E 19TH ST | Holland, MI 49423-4231 | |
| LOCATION | 2816 E BELTLINE LN NE | Grand Rapids, MI 49525-9432 | 616-361-1210 |
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