Individual
MISS JANNA KORTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CTRS
Contact information
Practice address
4934 LUXEMBURG ST SE, GRAND RAPIDS, MI 49546-8406
(810) 434-3339
(855) 207-3270
Mailing address
PO BOX 90002, WYOMING, MI 49509-9919
(810) 434-3339
(855) 207-3270
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
—
Other
Enumeration date
04/02/2013
Last updated
04/02/2013
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