Individual
MRS. JESSICA KALUMBULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
1159 BEECHWOOD ST NE, GRAND RAPIDS, MI 49505
(616) 447-8739
Mailing address
1159 BEECHWOOD ST NE, GRAND RAPIDS, MI 49505
(616) 447-8739
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501011209
MI
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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