Individual
JANET BETH VANDUSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3101 PRAIRIE ST SW, GRANDVILLE, MI 49418-2047
(616) 531-9973
(616) 531-5577
Mailing address
3171 RUSH CREEK DR SW, BYRON CENTER, MI 49315-8720
(616) 583-0420
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501002309
MI
Other
Enumeration date
05/21/2019
Last updated
05/21/2019
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