Individual
EMILY GEBOLYS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
900 S BEACON BLVD, GRAND HAVEN, MI 49417-2146
(616) 296-7300
Mailing address
900 S BEACON BLVD, GRAND HAVEN, MI 49417-2146
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502000233
MI
Other
Enumeration date
09/11/2020
Last updated
09/11/2020
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