Individual
MADELYN DEBOER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1530 PLYMOUTH AVE SE, GRAND RAPIDS, MI 49506
(616) 245-9179
Mailing address
11440 84TH AVE, ALLENDALE, MI 49401-7620
(616) 490-2735
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
06/16/2021
Last updated
06/16/2021
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