Individual
BROOKE WAYMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
145 MICHIGAN ST NE STE 6104, GRAND RAPIDS, MI 49503-2566
(616) 391-6031
Mailing address
4373 LAMONT WOODS DR, MARNE, MI 49435
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501006541
MI
Other
Enumeration date
03/07/2018
Last updated
03/07/2018
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