Individual
JESSICA HANKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15773 CHARLES CT, GRAND HAVEN, MI 49417
(616) 502-5888
Mailing address
15773 CHARLES CT, GRAND HAVEN, MI 49417-9410
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502004874
MI
225200000X
Physical Therapy Assistant
PTA48991
CA
Other
Enumeration date
09/14/2018
Last updated
09/14/2018
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