Individual
MR. DAVID A ASSELIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
1502 WEALTHY STREET SE, GRAND RAPIDS, MI 49506
(616) 456-0360
(616) 456-0361
Mailing address
1502 WEALTHY ST SE, GRAND RAPIDS, MI 49506-2719
(616) 456-0360
(616) 456-0361
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501013640
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5501013640
PHYSICAL THERAPY LICENSE
MI
Enumeration date
01/17/2008
Last updated
04/18/2013
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