Individual
JACOB VANTIMMEREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
945 E SHERMAN BLVD, NORTON SHORES, MI 49444-1805
(231) 737-4374
Mailing address
945 E SHERMAN BLVD, NORTON SHORES, MI 49444-1805
(231) 737-4374
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501018807
MI
Other
Enumeration date
08/14/2018
Last updated
08/14/2018
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