Individual
SHARON MARIE EVENINGRED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
16301 19 MILE RD, CLINTON TWP, MI 48038-1104
(586) 263-2480
Mailing address
48675 AMERICAN ELM DR, MACOMB, MI 48044-1429
(586) 263-4910
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502000027
MI
Other
Enumeration date
04/06/2021
Last updated
04/06/2021
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