Individual
JILLIAN OWENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
537 W MAIN ST STE 102, IONIA, MI 48846-1600
(616) 527-0558
Mailing address
1481 BECKWITH AVE NE, GRAND RAPIDS, MI 49505-5811
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501018843
MI
Other
Enumeration date
08/17/2021
Last updated
08/17/2021
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