Individual
BRUCE A MAIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2685 HENRY STREET, SUITE 202, MUSKEGON, MI 49441-3564
(231) 755-4404
(231) 755-7704
Mailing address
18000 COVE STREET, SUITE 202, SPRING LAKE, MI 49456-1383
(616) 847-1280
(616) 847-1290
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
55020001290
MI
Other
Enumeration date
01/16/2025
Last updated
01/16/2025
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