Individual
AMANDA JANDERNOA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
537 W MAIN ST, IONIA, MI 48846-1652
(616) 527-0558
Mailing address
537 W MAIN ST, IONIA, MI 48846-1652
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501016327
MI
Other
Enumeration date
01/08/2014
Last updated
03/02/2018
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