Individual
MICHELE LEE DART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4554 W 48TH ST, FREMONT, MI 49412-8721
(231) 924-9295
(231) 924-9371
Mailing address
4554 W 48TH ST, FREMONT, MI 49412-8721
(231) 924-9295
(231) 924-9371
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
L2045419
MI
Other
Enumeration date
01/21/2012
Last updated
01/22/2012
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