Individual
JENIFER SHOOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7731 WOOD VIOLET CT SE, ADA, MI 49301-8314
(616) 634-9463
Mailing address
7731 WOOD VIOLET CT SE, ADA, MI 49301-8314
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501010868
MI
Other
Enumeration date
03/16/2018
Last updated
03/16/2018
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