Individual
RIE SHIMADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
530 TANGLEWOOD LN, MISHAWAKA, IN 46545-2627
(574) 247-4465
Mailing address
10170 CASTNER DR, BERRIEN SPRINGS, MI 49103-9602
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05007992A
IN
225100000X
Physical Therapist
5501011554
MI
Other
Enumeration date
01/07/2011
Last updated
01/07/2011
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