Individual
SALLY KLENK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4069 LAKE DR SE STE 114, GRAND RAPIDS, MI 49546-8816
(616) 267-8346
(616) 267-8004
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
(616) 486-6790
(616) 486-6702
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
5501003429
MI
Other
Enumeration date
07/24/2017
Last updated
10/13/2021
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