Individual
BRIANA VIRKSTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7169 KALAMAZOO AVE SE STE 200, CALEDONIA, MI 49316-8146
(616) 265-2414
Mailing address
4761 LAKE MICHIGAN DR NW STE A, GRAND RAPIDS, MI 49534-6300
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5501016800
STATE LICENSE
MI
Enumeration date
10/05/2020
Last updated
11/09/2020
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