Doctor Name: | TERRI JEURINK |
NPI Number: | 1194964734 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MPT |
License Number: | 5501012050 |
Business Practice Address: | 25 Conran Dr Coopersville, MI - 494041366 |
Business Phone Number: | 6169976172 |
Business Fax Number: | 6169976178 |
Mailing Address: | 25 Conran Dr, COOPERSVILLE |
State: | MI |
Postal Code: | 494041366 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 02/04/2009 |
NPI Last Update Date: | 02/04/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | 5501012050 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |