Individual
JULIE A BENCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
15414 STONERIDGE CT, SPRING LAKE, MI 49456
(616) 847-8986
Mailing address
15414 STONERIDGE CT, SPRING LAKE, MI 49456
(616) 847-8986
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501003679
MI
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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