Individual
AMY L VIPOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
5889 STEPHENS RD, CHARLEVOIX, MI 49720-8817
(231) 675-9060
Mailing address
5889 STEPHENS RD, CHARLEVOIX, MI 49720-8817
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502001582
MI
225200000X
Physical Therapy Assistant
AT 6677
CA
Other
Enumeration date
12/06/2011
Last updated
12/06/2011
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