Jessica Catherine Tubergen, PTA

NPI #1013296144 in Hamilton, Michigan

Provider Information

NPI Number: 1013296144
Entity Type: Individual
Name: Jessica Catherine Tubergen, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Aug 7, 2011
Last Updated: May 23, 2012

Practice Location

Address: 3491 LINCOLN RD
City: Hamilton
State: Michigan
ZIP Code: 49419-9512
Phone: (269) 751-2150

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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