JOLENE LARAE BENNETT

GRANDVILLE, MI
NPI1619551165
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2251X0800X Physical Therapist, Orthopedic
(Licence: MI  5501003994)
Enumeration Date2021-05-11
Last Update Date2021-05-11
Business Address
JOLENE LARAE BENNETT PT
3540 FAIRLANES AVE SW
GRANDVILLE, MI 49418-1536
Phone number: 616-531-0464
Mailing Address
JOLENE LARAE BENNETT PT
3540 FAIRLANES AVE SW
GRANDVILLE, MI 49418-1536
Phone number: 616-531-0464