Julia Mendenhall
Physical Therapist in Grand Rapids, MI. Individual provider (NPI-1).
NPI number1669974366
StatusActive
Last updated in NPPESMar 8, 2018
Details
- NPI
- 1669974366
- Entity type
- Individual (NPI-1)
- Name
- Julia Mendenhall
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 8, 2018
- Last updated
- Mar 8, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 5501015903 | MI | Yes |
Practice location
1840 Wealthy St SeGrand Rapids, MI 49506-2921
Phone 616-267-3822
Mailing address
5266 Fieldstone Meadow Dr NeCedar Springs, MI 49319-7810
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