Organization
GRAND RAPIDS PHYSICAL THERAPY & PERFORMANCE
Active
Other names
Onward Grand Rapids
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH HANISKO DPT (OWNER/PT)
(989) 780-2748
Entity
Organization
Contact information
Practice address
1236 PLYMOUTH AVE NE, GRAND RAPIDS, MI 49505-5641
(989) 780-2748
Mailing address
1236 PLYMOUTH AVE NE, GRAND RAPIDS, MI 49505-5641
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
—
—
Other
Enumeration date
01/11/2021
Last updated
01/11/2021
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