Jessica Catherine Tubergen
Physical Therapy Assistant
3491 Lincoln Rd
Hamilton
, Michigan 49419-9512
Jessica Catherine Tubergen
Physical Therapy Assistant
3491 Lincoln Rd
Hamilton
, Michigan 49419-9512
(616) 392-3197
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About
Features
Specialties
- Physical Therapy Assistant
Languages spoken
- English
Location
First Address
- Jessica Catherine Tubergen
- 44 E 8th St Suite 205
- Holland, MI
- Zip : 49423-3575
- Phone : (616) 392-3197
Second Address
- Jessica Catherine Tubergen
- 3491 Lincoln Rd
- Hamilton, MI
- Zip : 49419-9512
- Phone : (269) 751-2150
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | 5502003228 | MI |
National Provider Identifier
| NPI | 1013296144 |
|---|---|
| Provider Name | Jessica Catherine Tubergen |
| First Address | Holland, MI 49423-3575 |
| Second Address | Hamilton, MI 49419-9512 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/08/2011 |
| Last Update Date | 23/05/2012 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.