Individual
MRS. STACEY RENEE RILEI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 POPLAR ST, HANCOCK, MI 49930-1121
(906) 482-6644
Mailing address
42155 WILSON MEMORIAL DR, CHASSELL, MI 49916-9000
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
L2084338
MI
Other
Enumeration date
01/20/2012
Last updated
01/20/2012
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