Individual
CARRIE PHILO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2700 E LANSING DR, EAST LANSING, MI 48823
(616) 464-0264
Mailing address
2700 E LANSING DR, EAST LANSING, MI 48823-7754
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501009511
MI
225100000X
Physical Therapist
—
—
Other
Enumeration date
02/22/2018
Last updated
05/07/2019
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