Individual
MR. KYLE A GEORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1838 COLEMAN AVE, LANSING, MI 48910-9002
(517) 930-4262
Mailing address
1838 COLEMAN AVE, LANSING, MI 48910-9002
(517) 930-4262
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502000862
MI
Other
Enumeration date
07/27/2010
Last updated
07/27/2010
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