Individual
LAURA M MEENGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
235 WEALTHY ST SE, GRAND RAPIDS, MI 49503-5247
(616) 840-8558
Mailing address
7550 CARPET ROSE DR SE, CALEDONIA, MI 49316-8461
(616) 916-3984
Taxonomy
Speciality
Code
Description
License number
State
2251N0400X
Neurology Physical Therapist
Primary
5501009975
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1437402542
—
MI
Enumeration date
02/25/2018
Last updated
02/25/2018
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