Individual
MR. JON GARRETT ELENBAAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
3491 LINCOLN RD, HAMILTON, MI 49419-9512
(269) 751-2150
(269) 751-2140
Mailing address
PO BOX 1695, HOLLAND, MI 49422-1695
(616) 392-3197
(616) 392-7959
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502003533
MI
Other
Enumeration date
05/25/2012
Last updated
05/25/2012
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