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NPI Code Detail

MEDICARE: TERRI JEURINK MPT

MEDICARE:   TERRI  JEURINK  MPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12251X0800XOrthopedic Physical Therapist5501012050MI

General Provider Information

NPI Number : 1194964734
Entity Type Code : Individual
Provider Name (Legal Business Name) : TERRI JEURINK MPT
Provider Business Mailing Address
First Line : 25 CONRAN DR
Second Line :
City : COOPERSVILLE
State : MI
Zip : 49404-1366
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 25 CONRAN DR
Second Line :
City : COOPERSVILLE
State : MI
Zip : 49404-1366
Country : US
Telephone Number : 616-997-6172
Fax Number : 616-997-6178
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/04/2009
Last Update Date : 02/04/2009

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Directions to “ TERRI JEURINK MPT” Practice Location

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