Individual
MR. JEFFERY D REGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
230 MICHIGAN ST NE, GRAND RAPIDS, MI 49503-2550
(616) 459-7101
(616) 942-2146
Mailing address
1111 LEFFINGWELL AVE NE, SUITE 300, GRAND RAPIDS, MI 49525-6406
(616) 459-7101
(616) 942-2146
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501004863
MI
Other
Enumeration date
05/12/2006
Last updated
09/17/2013
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