Individual
LOIS VANTUINEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
5659 STADIUM DR, SUITE 1, KALAMAZOO, MI 49009-1932
(269) 375-9450
Mailing address
5659 STADIUM DR, SUITE 1, KALAMAZOO, MI 49009-1932
(269) 375-9450
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502004977
MI
Other
Enumeration date
11/10/2016
Last updated
11/10/2016
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