| NPI | 1386379857 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER DEJONGE Physical Therapist 616-460-3955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2022-07-19 |
| Last Update Date | 2026-03-09 |