Jenelle Conover, PTA
NPI #1124592233 in Grand Rapids, Michigan
Provider Information
- NPI Number
- 1124592233
- Entity Type
- Individual
- Name
- Jenelle Conover, PTA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Jan 11, 2019
- Last Updated
- Jan 11, 2019
Practice Location
- Address
- 111 LAKESIDE DR NE
- City
- Grand Rapids
- State
- Michigan
- ZIP Code
- 49503-3811
- Phone
- (616) 438-2425
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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