Individual
ADDISON OUELLETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9215 BOOTH BAY CT. NE, ROCKFORD, MI 49341-7386
(616) 481-0747
Mailing address
9215 BOOTH BAY CT NE, ROCKFORD, MI 49341-7386
(616) 481-0747
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
03/14/2017
Last updated
11/25/2019
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