LAKE FOCO

GRAND HAVEN, MI
NPI1407630643
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
Enumeration Date2023-08-21
Last Update Date2024-04-22
Business Address
LAKE FOCO DPT
17272 ROBBINS RD STE 102
GRAND HAVEN, MI 49417-2677
Phone number: 616-256-8670
Mailing Address
LAKE FOCO DPT
PO BOX 30516 DEPT 5300
LANSING, MI 48909
Phone number: