Individual
JOSHUA HANENBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
5886 VENTURE PARK DR, KALAMAZOO, MI 49009-1848
(269) 375-4737
(269) 375-4747
Mailing address
1331 LAKE DR SE, STE 105, GRAND RAPIDS, MI 49506-1674
(616) 356-5000
(616) 356-5001
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501014787
MI
Other
Enumeration date
01/27/2012
Last updated
01/20/2017
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