Individual
MRS. TRACY LYNN SAGATAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
N15019 HANNAHVILLE ROAD B 1, WILSON, MI 49896-9614
(906) 466-2782
Mailing address
N15019 HANNAHVILLE ROAD B 1, WILSON, MI 49896-9614
(906) 466-2782
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502008312
MI
Other
Enumeration date
10/19/2023
Last updated
10/19/2023
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