Individual
LENEE DAHLGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
31 IDA RED, SPARTA, MI 49345
(616) 887-8152
Mailing address
2719 NORTHVALE DR NE APT 303, GRAND RAPIDS, MI 49525-1789
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502004269
MI
Other
Enumeration date
11/06/2025
Last updated
11/06/2025
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