Individual
JILL COON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1000 EDISON AVE NW, GRAND RAPIDS, MI 49504-3918
(616) 453-2475
Mailing address
10390 SPRING VALLEY DR SE, ALTO, MI 49302-8400
(616) 307-4015
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
5501015081
MI
Other
Enumeration date
03/27/2019
Last updated
03/27/2019
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