Dejonge Physical Therapy, Llc | |
2308 Taft Rd, Allegan, MI 49010-9476 | |
(616) 460-3955 | |
Not Available |
Full Name | Dejonge Physical Therapy, Llc |
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Type | Facility |
Speciality | Physical Therapist |
Location | 2308 Taft Rd, Allegan, Michigan |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386379857 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Heather Renee Dejonge |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1144420381 PECOS PAC ID: 1456414069 Enrollment ID: I20090108000175 |
Mailing Address | Practice Location Address |
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Dejonge Physical Therapy, Llc 2308 Taft Rd, Allegan, MI 49010-9476 Ph: (616) 460-3955 | Dejonge Physical Therapy, Llc 2308 Taft Rd, Allegan, MI 49010-9476 Ph: (616) 460-3955 |
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