Individual
CAROLINE PACKARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
933 3 MILE RD NW STE 110, GRAND RAPIDS, MI 49544-1673
(616) 785-2619
Mailing address
6645 RIGA ST NE, ROCKFORD, MI 49341-9210
(440) 463-5483
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501016726
MI
Other
Enumeration date
07/09/2014
Last updated
07/09/2014
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