Individual
AMY RAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1221 E 16TH ST, HOLLAND, MI 49423-9127
(616) 396-7095
Mailing address
7224 E 40TH ST, NEWAYGO, MI 49337-8202
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502003660
MI
Other
Enumeration date
09/19/2018
Last updated
09/19/2018
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