Individual
JULIE MARIE DEVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1330 GRAND POINTE CT, GRAND BLANC, MI 48439-5502
(810) 695-8920
Mailing address
8452 FRANCES RD, OTISVILLE, MI 48463-9471
(810) 938-2267
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502001211
MI
Other
Enumeration date
10/07/2021
Last updated
10/07/2021
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