Individual
MRS. MARY JO KLEYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
11301 COMMERCE DR, SUITE B, ALLENDALE, MI 49401-8200
(616) 895-4770
(616) 895-4774
Mailing address
11301 COMMERCE DR, SUITE B, ALLENDALE, MI 49401-8200
(616) 895-4770
(616) 895-4774
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502000356
MI
Other
Enumeration date
07/01/2013
Last updated
07/01/2013
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