Individual
JESSICA L BRONKEMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
11080 PINE VIEW LN, TEMPERANCE, MI 48182-9596
(734) 856-8199
Mailing address
11080 PINE VIEW LN, TEMPERANCE, MI 48182-9596
(734) 856-8199
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501015877
MI
Other
Enumeration date
04/24/2018
Last updated
04/24/2018
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