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Individual

CASSANDRA ESCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2000 BURTON ST SE STE 1, GRAND RAPIDS, MI 49506-4670
(616) 608-8485
Mailing address
PO BOX 30516, DEPT 5300, LANSING, MI 48909

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5501302834
STATE LICENSE
MI
Enumeration date
08/21/2023
Last updated
08/21/2023
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