Individual
CAROLINE M PUSTOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
235 WEALTHY ST SE, GRAND RAPIDS, MI 49503-5247
(616) 840-8558
Mailing address
235 WEALTHY ST SE, GRAND RAPIDS, MI 49503-5247
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070.024260
IL
Other
Enumeration date
10/08/2020
Last updated
04/22/2026
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