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Individual

ALLISON LEIGH FORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
10047 CROSS ROAD CT. SE, SUITE 150, CALEDONIA, MI 49316
(616) 233-3597
Mailing address
607 DEWEY AVE NW, SUITE 300, GRAND RAPIDS, MI 49504-7335

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501014462
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5501014462
LICENSE NUMBER
MI
Enumeration date
06/05/2009
Last updated
02/03/2012
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