Individual
MRS. LYNNE MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1107 E MICHIGAN AVE # 1, GRAYLING, MI 49738-1311
(989) 348-3027
(989) 348-4246
Mailing address
1107 E MICHIGAN AVE # 1, GRAYLING, MI 49738-1311
(989) 348-3027
(989) 348-4246
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
5501001324
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4775287
—
MI
Enumeration date
02/26/2009
Last updated
05/29/2012
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