Individual
JANET LEE WAKEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
304 W WACKERLY ST, MIDLAND, MI 48640-7264
(989) 834-4220
(989) 832-4207
Mailing address
304 W WACKERLY ST, MIDLAND, MI 48640-7264
(989) 834-4220
(989) 832-4207
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502001548
MI
Other
Enumeration date
08/30/2018
Last updated
09/12/2018
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