Individual
TERESA ALFARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1221 E 16TH ST, HOLLAND, MI 49423-9127
(616) 396-7095
Mailing address
10919 THORNBERRY WAY, ZEELAND, MI 49464-8699
(616) 422-0284
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
5502001755
MI
Other
Enumeration date
04/24/2015
Last updated
04/24/2015
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