TARA JANSEN

GRAND RAPIDS, MI
NPI1396842621
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: MI  5501012974)
Enumeration Date2006-09-20
Last Update Date2009-10-28
Business Address
-- TARA JANSEN P.T.
428 BRIDGE ST NW
GRAND RAPIDS, MI 49504-5322
Phone number: 616-451-4284
Mailing Address
-- TARA JANSEN P.T.
3828 44TH ST. SE
KENTWOOD, MI 49512
Phone number: