Individual
TERESA MARIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
825 56TH ST, PULLMAN, MI 49450-9738
(269) 239-0959
Mailing address
1127 KNOLLWOOD AVE APT 1030, KALAMAZOO, MI 49006-6679
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
08/22/2014
Last updated
08/22/2014
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