Individual
MRS. JENNIFER LEE ZACKRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
7686 GEORGETOWN CENTER DR, JENISON, MI 49428-8101
(616) 252-8630
(616) 252-8666
Mailing address
3650 BLACK CREEK DR, HUDSONVILLE, MI 49426-9034
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501006596
MI
Other
Enumeration date
03/12/2018
Last updated
03/12/2018
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