Individual
DEANNE SHARP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA-L
Contact information
Practice address
1570 DELZ DR, MUSKEGON, MI 49445-1126
(231) 286-6213
Mailing address
1570 DELZ DR, MUSKEGON, MI 49445-1126
(231) 286-6213
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502000388
MI
Other
Enumeration date
07/04/2015
Last updated
07/04/2015
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