Individual
ANN E DULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4401 N CAMPUS RIDGE DR, C2000, MIDLAND, MI 48640-6112
(989) 837-9130
Mailing address
4401 N CAMPUS RIDGE DR, C2000, MIDLAND, MI 48640-6112
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501004929
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5501004929
STATE OF MICHIGAN PT LICE
—
Enumeration date
07/22/2007
Last updated
07/22/2007
About Stedi
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