Individual
MRS. EILEEN MARIE KISHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
5340 PLAZA AVE, SUITE 3, HUDSONVILLE, MI 49426
(616) 608-8922
Mailing address
PO BOX 30516, DEPT 5300, LANSING, MI 48909
(616) 356-5000
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501003198
MI
Other
Enumeration date
08/27/2007
Last updated
08/10/2022
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