Individual
ALLISON KORNOELJE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
3152 PEREGRINE DR NE STE 115, GRAND RAPIDS, MI 49525-9723
(616) 643-0833
Mailing address
10336 SENTRY RD, ZEELAND, MI 49464-2095
(616) 405-5750
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501013489
MI
Other
Enumeration date
06/01/2021
Last updated
06/01/2021
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