Individual
VICTORIA PRUITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1525 RIDGEWOOD DR, MIDLAND, MI 48642-6425
(989) 835-6333
Mailing address
15 DARTMOOR PL, MIDLAND, MI 48640-3382
(517) 990-5603
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
5501020028
MI
Other
Enumeration date
05/20/2021
Last updated
11/10/2021
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