Individual
ANN R WILLETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
841 S SAGINAW RD, MIDLAND, MI 48640-4664
(866) 625-3570
(866) 245-8064
Mailing address
PO BOX 3497, STURTEVANT, WI 53177-0300
(877) 552-2996
(866) 245-8064
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501014621
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104057421
—
MI
Enumeration date
08/04/2009
Last updated
03/19/2010
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