Individual
ANN VENEMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.P.T.
Contact information
Practice address
1331 LAKE DR SE, SUITE 105, GRAND RAPIDS, MI 49506-1674
(616) 248-9842
(616) 248-9848
Mailing address
235 WEALTHY ST SE, GRAND RAPIDS, MI 49503-5247
(616) 840-8000
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
5501015711
MI
225100000X
Physical Therapist
Primary
5501015711
MI
Other
Enumeration date
10/05/2011
Last updated
11/01/2021
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