Individual
RONY HELMAR BARILLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2055 28TH ST SE STE 7, GRAND RAPIDS, MI 49508-1582
(616) 245-7013
Mailing address
40 JOHN BALL PARK DR NW, GRAND RAPIDS, MI 49504-5443
(616) 456-7847
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502004013
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5502004013
BOARD OF PHYSICAL THERAPY
MI
Enumeration date
09/04/2013
Last updated
09/04/2013
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