Individual
ASHLEY ANNE VAN DAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
100 MICHIGAN ST NE, GRAND RAPIDS, MI 49503-2560
(616) 391-1261
Mailing address
2316 TECUMSEH DR SE, GRAND RAPIDS, MI 49506-5233
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501015434
—
Other
Enumeration date
03/09/2018
Last updated
03/09/2018
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