Individual
DEXTER IDNAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICAL THERAPIST
Contact information
Practice address
129 N 1ST ST, HARBOR BEACH, MI 48441-1102
(989) 479-3101
(989) 479-3529
Mailing address
136 N 1ST ST, HARBOR BEACH, MI 48441-1101
(989) 479-3101
(989) 479-3529
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501013852
MI
Other
Enumeration date
09/24/2013
Last updated
09/24/2013
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