Individual
ANDREA NICOLE DENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
235 WEALTHY ST SE, GRAND RAPIDS, MI 49503-5247
(616) 840-8172
Mailing address
3470 MASON VIEW DR NE, GRAND RAPIDS, MI 49525-9435
(616) 745-5703
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501014802
MI
Other
Enumeration date
02/27/2018
Last updated
02/27/2018
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