Individual
SHARON VANTUYL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6016 W MAPLE RD, SUITE 705, WEST BLOOMFIELD, MI 48322-4411
(248) 539-2900
Mailing address
3450 W CENTRAL AVE, SUITE 230, TOLEDO, OH 43606-1416
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
01085283
OH
Other
Enumeration date
08/02/2012
Last updated
08/02/2012
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