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Individual

MR. STEVEN H TICKLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHYSICAL THER ASST

Contact information

Practice address
1015 CHARLEVOIX DR, GRAND LEDGE, MI 48837-2278
(517) 627-2885
(517) 627-2599
Mailing address
1015 CHARLEVOIX DR, GRAND LEDGE, MI 48837-2278
(517) 627-2885
(517) 627-2599

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502002309
MI

Other

Enumeration date
12/27/2018
Last updated
12/27/2018
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