Individual
CARMEN SHANNON PENA-BRANSTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1660 HASLETT RD, SUITE 4, HASLETT, MI 48840-8469
(517) 339-4050
Mailing address
227 FERGUSON ST, LANSING, MI 48912-2211
(517) 482-6809
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501012653
MI
Other
Enumeration date
01/15/2007
Last updated
07/08/2007
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