Individual
SHELLY DENISE HATCHEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9099 DODGE RD, OTISVILLE, MI 48463-9449
(810) 691-2722
Mailing address
9099 DODGE RD, OTISVILLE, MI 48463-9449
(810) 691-2722
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502004412
MI
Other
Enumeration date
04/14/2015
Last updated
04/14/2015
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