Individual
NICOLE PURVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
400 FULLER ST APT 18, CLIO, MI 48420-1247
(810) 955-5328
Mailing address
400 FULLER ST APT 18, CLIO, MI 48420-1247
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502004644
MI
Other
Enumeration date
08/04/2022
Last updated
08/04/2022
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