JODIE MEGAN BLAKE

GRAND RAPIDS, MI
NPI1154644136
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: MI  5501011217)
Enumeration Date2010-03-05
Last Update Date2010-08-03
Business Address
-- JODIE MEGAN BLAKE PT
4069 LAKE DR SE SUITE 114
GRAND RAPIDS, MI 49546-8816
Phone number: 616-726-8365
Mailing Address
-- JODIE MEGAN BLAKE PT
4085 BURTON ST SE SUITE 200
GRAND RAPIDS, MI 49546-2444
Phone number: 616-974-4466
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