Individual
MRS. MICA CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA-L
Contact information
Practice address
14211 WHITE CREEK AVE NE, CEDAR SPRINGS, MI 49319-8168
(616) 252-6330
(616) 252-6366
Mailing address
14211 WHITE CREEK AVE NE, CEDAR SPRINGS, MI 49319-8168
(616) 252-6330
(616) 252-6366
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502001183
MI
Other
Enumeration date
04/03/2018
Last updated
04/03/2018
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