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1679022115
TIMOTHY OLTHOFF
GRAND RAPIDS, MI
NPI
1679022115
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501017892)
Enumeration Date
2016-09-26
Last Update Date
2016-09-26
Business Address
TIMOTHY OLTHOFF DPT
3826 44TH ST SE
GRAND RAPIDS, MI 49512-3919
Phone number: 616-554-0918
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Mailing Address
TIMOTHY OLTHOFF DPT
3826 44TH ST SE
GRAND RAPIDS, MI 49512-3919
Phone number: 616-554-0918
Copy
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