Individual
JESSICA ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
461 STATE ST, HOLLAND, MI 49423-4830
(616) 541-0451
Mailing address
PO BOX 1602, HOLLAND, MI 49422-1602
(616) 541-0451
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
5501016851
MI
Other
Enumeration date
03/30/2017
Last updated
03/30/2017
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