Individual
REYNALDO SOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPTA
Contact information
Practice address
3019 COIT AVE NE, GRAND RAPIDS, MI 49505-3376
(616) 365-9575
Mailing address
3004 WOODSBORO DR NE, GRAND RAPIDS, MI 49525-3055
(616) 363-4239
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502002449
MI
Other
Enumeration date
03/14/2010
Last updated
03/14/2010
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