Individual
HETTY TOMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
9249 W LAKE CITY RD, HOUGHTON LAKE, MI 48629-9602
(989) 422-5122
Mailing address
703 N MCEWAN ST, CLARE, MI 48617-1440
(989) 802-5000
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501014292
MI
Other
Enumeration date
08/05/2009
Last updated
08/05/2009
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