Negasi Amine Tewoldemedhin, DPT
Physical Therapist in Grand Rapids, MI. Individual provider (NPI-1).
NPI number1417138363
StatusActive
Last updated in NPPESNov 20, 2007
Details
- NPI
- 1417138363
- Entity type
- Individual (NPI-1)
- Name
- Negasi Amine Tewoldemedhin
- Credential
- DPT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 20, 2007
- Last updated
- Nov 20, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 5501013543 | MI | Yes |
Practice location
5060 Cascade Rd SeSuite A
Grand Rapids, MI 49546-3808
Phone 616-954-0950 · Fax 616-954-1728
Mailing address
5060 Cascade Rd SeSuite A
Grand Rapids, MI 49546-3808
Phone 616-954-0950 · Fax 616-954-1728
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All 709 Physical Therapist providers in Grand Rapids · All 20,987 providers in Grand Rapids
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