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Jolene Larae Bennett, PT
Orthopedic Physical Therapist in Grandville, Michigan
NPI 1619551165

Jolene Larae Bennett is a Orthopedic Physical Therapist based in Grandville, MI and is specialized in Orthopedic. Jolene Larae Bennett practices in Grandville, MI and has the professional credentials of PT. The NPI Number for Jolene Larae Bennett is 1619551165 and holds a License No. 5501003994 (Michigan).

The current practice location address for Jolene Larae Bennett is 3540 Fairlanes Ave Sw, Grandville, MI and can be reached out via phone at 616-531-0464 and via fax at 616-531-3651.

Location: 3540 Fairlanes Ave Sw, Grandville, MI, 49418-1536
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619551165
Provider Name
Jolene Larae Bennett
Credential
PT
Provider Entity Type
Individual
Gender
Female
Address
3540 Fairlanes Ave Sw, Grandville, MI, 49418-1536
Phone Number
616-531-0464
Fax Number
616-531-3651
Provider Enumeration Date
05/11/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3540 Fairlanes Ave Sw
City
Grandville
State
Michigan
Zip
49418-1536
Phone Number
616-531-0464
Fax Number
616-531-3651
person
Provider Business Mailing Address Details
Address
3540 Fairlanes Ave Sw
City
Grandville
State
Michigan
Zip
49418-1536
Phone Number
616-531-0464
Fax Number
616-531-3651
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Orthopedic
Taxonomy
2251X0800X
License No.
5501003994 (Michigan)
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
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