Individual
CHRISTINE VEENSTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
721 3 MILE RD NW STE 100, GRAND RAPIDS, MI 49544-8230
(616) 265-2414
Mailing address
PO BOX 30516, DEPT 5300, LANSING, MI 48909-8016
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5501011697
STATE
MI
Enumeration date
12/13/2021
Last updated
12/13/2021
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