Individual
BRUCE LAMOINE GREENLEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
8333 FELCH ST STE 101, ZEELAND, MI 49464-2608
(616) 772-5795
Mailing address
8333 FELCH ST STE 101, ZEELAND, MI 49464-2608
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501015110
MI
Other
Enumeration date
03/19/2018
Last updated
03/19/2018
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