JENNIFER GUSHIKEN

GRANDVILLE, MI
NPI1700371754
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MI  5502001003)
Enumeration Date2018-06-22
Last Update Date2018-06-22
Business Address
Mrs. JENNIFER GUSHIKEN PTA
3400 WILSON AVE SW
GRANDVILLE, MI 49418-1854
Phone number: 616-534-5487
Mailing Address
Mrs. JENNIFER GUSHIKEN PTA
572 SUNMEADOW DR SE
GRAND RAPIDS, MI 49508-7709
Phone number: