Individual
JORGEANN MARIE KOENIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
530 BEECH ST, CHARLOTTE, MI 48813-1016
(517) 543-2940
Mailing address
530 BEECH ST, CHARLOTTE, MI 48813-1016
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501017216
MI
Other
Enumeration date
02/21/2018
Last updated
02/21/2018
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