Individual
MS. KATHLEEN NUMMERDOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
236 W VFW RD, CHEBOYGAN, MI 49721-9702
(231) 818-3863
Mailing address
236 W VFW RD, CHEBOYGAN, MI 49721-9702
(231) 818-3863
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502000838
MI
Other
Enumeration date
03/14/2015
Last updated
03/14/2015
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