Individual
MRS. DARCIE LYNNE OWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2786 56TH ST SW, WYOMING, MI 49418-8708
(616) 261-3960
Mailing address
2786 56TH ST SW, WYOMING, MI 49418-8708
(616) 261-3960
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502001449
MI
Other
Enumeration date
04/23/2015
Last updated
07/01/2015
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