Individual
MRS. BRANDEE WHEATON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
879 E MICHIGAN AVE, MARSHALL, MI 49068-2045
(269) 781-4251
Mailing address
512 W JACKSON DR, TEKONSHA, MI 49092-9552
(517) 278-8219
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502003556
MI
Other
Enumeration date
04/20/2015
Last updated
04/20/2015
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