Caroline M Pustover, PT
Physical Therapist in Grand Rapids, MI. Individual provider (NPI-1).
NPI number1790382000
StatusActive
Last updated in NPPESApr 22, 2026
Details
- NPI
- 1790382000
- Entity type
- Individual (NPI-1)
- Name
- Caroline M Pustover
- Credential
- PT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 8, 2020
- Certification date
- Apr 22, 2026
- Last updated
- Apr 22, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 070.024260 | IL | Yes |
Other names
- Caroline Wildman (Former Name)
Practice location
235 Wealthy St SeGrand Rapids, MI 49503-5247
Phone 616-840-8558
Mailing address
235 Wealthy St SeGrand Rapids, MI 49503-5247
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