Individual
MRS. ANNE MCCAULEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
914 CHARLEVOIX DR STE 150, GRAND LEDGE, MI 48837-2294
(517) 627-9292
(517) 627-9291
Mailing address
914 CHARLEVOIX DR STE 150, GRAND LEDGE, MI 48837-2294
(517) 627-9292
(517) 627-9291
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501012417
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30658
BCBSM
MI
01
—
64-00940
PHP
MI
Enumeration date
09/20/2006
Last updated
07/08/2007
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