Organization
HANNEKEN PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VINCENT HANNEKEN PT (OWNER/PT)
(616) 392-2172
Entity
Organization
Contact information
Practice address
286 HOOVER BLVD, HOLLAND, MI 49423-0286
(616) 392-2172
(616) 392-1726
Mailing address
286 HOOVER BLVD, HOLLAND, MI 49423-0286
(616) 392-2172
(616) 392-1726
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501003223
MI
Other
Enumeration date
07/25/2006
Last updated
09/22/2010
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