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Individual

HEATHER MARIA CANTWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2815 S PENNSYLVANIA AVE, LANSING, MI 48910-3495
(517) 975-9900
Mailing address
305 N NELSON ST, POTTERVILLE, MI 48876-8713
(517) 648-1646

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502002604
MI

Other

Enumeration date
12/20/2018
Last updated
12/20/2018
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