Individual
MS. DINIWE PETER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
1001 MEDICAL PARK DR SE, SUITE 111, GRAND RAPIDS, MI 49546-3610
(616) 957-4014
(616) 956-0059
Mailing address
1001 MEDICAL PARK DR SE, SUITE 111, GRAND RAPIDS, MI 49546-3610
(616) 957-4014
(616) 956-0059
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501011672
MI
Other
Enumeration date
10/28/2006
Last updated
07/08/2007
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