Individual
EMMANUEL S PAGKANLUNGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, FDNS
Contact information
Practice address
18000 COVE ST STE 202, SPRING LAKE, MI 49456-1383
(616) 847-1280
(616) 847-1290
Mailing address
18000 COVE ST STE 202, SPRING LAKE, MI 49456-1383
(616) 847-1280
(616) 847-1290
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
23202
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5501019627
STATE LICENSE
MI
Enumeration date
09/07/2017
Last updated
08/10/2021
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