Individual
PHILIP L JAHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2121 RAYBROOK ST SE, GRAND RAPIDS, MI 49546-5793
(616) 235-3115
Mailing address
2809 RIVER RD, TWIN LAKE, MI 49457-8826
(231) 750-0719
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502000435
MI
Other
Enumeration date
02/28/2018
Last updated
02/28/2018
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