Individual
JOHN HART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4450 CASCADE RD SE, GRAND RAPIDS, MI 49546-3633
(616) 600-1941
Mailing address
4450 CASCADE RD SE, GRAND RAPIDS, MI 49546-3633
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501018171
MI
Other
Enumeration date
12/04/2019
Last updated
12/04/2019
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