Individual
TARYN DEBORAH WIGGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
965 HAGER DR, PETOSKEY, MI 49770-8784
(231) 350-2387
Mailing address
965 HAGER DR, PETOSKEY, MI 49770-8784
(231) 350-2387
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502005211
MI
Other
Enumeration date
09/26/2022
Last updated
09/26/2022
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