Individual
JEANENE WESTGATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
8462 E 32ND ST, NEWAYGO, MI 49337-8983
(231) 414-7204
Mailing address
1 W STATE RD, NEWAYGO, MI 49337-7981
(231) 355-5300
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502002472
MI
Other
Enumeration date
06/02/2021
Last updated
06/02/2021
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