Individual
JARED KOENIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
23311 ORCHARD LAKE RD, FARMINGTON, MI 48336-3238
(248) 474-5516
Mailing address
2122 YORK RD STE 300, OAK BROOK, IL 60523-1925
(630) 575-6200
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
05011957A
IN
225100000X
Physical Therapist
070022880
IL
225100000X
Physical Therapist
Primary
5501019945
MI
Other
Enumeration date
04/08/2016
Last updated
02/03/2025
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