JONATHAN M MENDICELLI

HOLLAND, MI
NPI1225658123
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MI  5502006160)
Enumeration Date2020-04-21
Last Update Date2020-04-21
Business Address
JONATHAN M MENDICELLI PTA
280 W 40TH ST
HOLLAND, MI 49423-4664
Phone number: 616-796-3600
Mailing Address
JONATHAN M MENDICELLI PTA
18256 SWISS DR APT 16
SPRING LAKE, MI 49456-9741
Phone number: 231-878-7161