Individual
PENNY ELIASSON NEREM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
319 S SHELBY ST APT 1B, CADILLAC, MI 49601-2196
(231) 645-1215
Mailing address
319 S SHELBY ST APT 1B, CADILLAC, MI 49601-2196
(231) 645-1215
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502002083
MI
Other
Enumeration date
07/05/2023
Last updated
07/05/2023
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