Individual
MRS. CHARLENE VANDRIL SWAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T
Contact information
Practice address
8450 N 43RD ST, AUGUSTA, MI 49012-9651
(269) 731-4471
(269) 731-2990
Mailing address
73 S LAKE DOSTER DR, PLAINWELL, MI 49080-9109
(269) 664-4022
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501005239
MI
Other
Enumeration date
03/06/2007
Last updated
07/08/2007
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