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Individual

ELISSA PAETH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
2707 ASHMAN ST, MIDLAND, MI 48640-4449
(989) 374-5000
Mailing address
2707 ASHMAN ST, MIDLAND, MI 48640-4449

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502000847
MI

Other

Enumeration date
12/09/2019
Last updated
12/09/2019
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