Individual
BETH BELLNER-FONGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
515 E DIVISION ST, ROCKFORD, MI 49341-1377
(616) 863-3133
(616) 866-8973
Mailing address
515 E DIVISION ST, ROCKFORD, MI 49341-1377
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501004039
MI
Other
Enumeration date
03/19/2018
Last updated
03/19/2018
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