JACOB FILLMORE
Rehabilitation Practitioner
Active
Individual
NPI: 1548685464
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | Yes | - |
Frequently Asked Questions
NPI 1548685464 is the National Provider Identifier for JACOB FILLMORE, a Rehabilitation Practitioner provider located in Grand Rapids, MI. This NPI was enumerated on February 28, 2014.
JACOB FILLMORE practices at 1490 E BELTLINE AVE SE, Grand Rapids, MI 49506.
Quick Facts
- NPI
- 1548685464
- Type
- Individual
- Enumerated
- Feb 28, 2014
- Last Updated
- Feb 28, 2014
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