Jacob Vantimmeren

NPI #1417437054 in Norton Shores, Michigan

Provider Information

NPI Number: 1417437054
Entity Type: Individual
Name: Jacob Vantimmeren
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Aug 14, 2018
Last Updated: Aug 14, 2018

Practice Location

Address: 945 E SHERMAN BLVD
City: Norton Shores
State: Michigan
ZIP Code: 49444-1805
Phone: (231) 737-4374

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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