Individual
JENNA FORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
601 JOHN ST, KALAMAZOO, MI 49007-5341
(269) 341-7654
Mailing address
601 JOHN ST, KALAMAZOO, MI 49007-5341
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501021620
MI
Other
Enumeration date
10/11/2021
Last updated
10/11/2021
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