Individual
MISS SHARON LYNN RUDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4304 PAGE AVE STE 100, MICHIGAN CENTER, MI 49254-1078
(517) 205-7586
(517) 205-0110
Mailing address
4304 PAGE AVE STE 100, MICHIGAN CENTER, MI 49254-1078
(517) 205-7586
(517) 205-0110
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502000373
MI
Other
Enumeration date
04/08/2021
Last updated
04/08/2021
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