Individual
MELINDA ANN ADEMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4450 CASCADE RD SE STE 200, GRAND RAPIDS, MI 49546-3633
(616) 965-9562
Mailing address
2156 VALLEY FORGE ST NW, GRAND RAPIDS, MI 49504-5952
(616) 450-6891
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502000219
MI
Other
Enumeration date
09/21/2020
Last updated
09/21/2020
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