Individual
MRS. ALICE LORRAINE ILONCAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
1376 HUNT RD, MAYVILLE, MI 48744-9744
(989) 670-9414
Mailing address
1376 HUNT RD., MAYVILLE, MI 48744-9744
(989) 670-9414
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502001889
MI
Other
Enumeration date
01/28/2014
Last updated
01/28/2014
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