Individual
KRISTIN LOUSISE VANDERARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4118 KALAMAZOO AVE SE, GRAND RAPIDS, MI 49508-3605
(616) 827-5988
Mailing address
4118 KALAMAZOO AVE SE, GRAND RAPIDS, MI 49508-3605
Taxonomy
Speciality
Code
Description
License number
State
2251N0400X
Neurology Physical Therapist
Primary
5501009527
MI
Other
Enumeration date
03/09/2018
Last updated
03/09/2018
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