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Individual

ANGELA WOODRUFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
2100 E PROVINCIAL HOUSE DR, LANSING, MI 48910-4884
(517) 272-4029
Mailing address
2100 E PROVINCIAL HOUSE DR, LANSING, MI 48910-4884
(517) 272-4029

Taxonomy

Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
A-3659397
MI
225200000X
Physical Therapy Assistant
5502003374
MI

Other

Enumeration date
04/17/2015
Last updated
11/16/2023
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