Individual
MRS. ANITA KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
5590 MAIN ST, SUITE 4, LEXINGTON, MI 48450-9383
(810) 359-8700
Mailing address
5590 MAIN ST, SUITE 4, LEXINGTON, MI 48450-9383
(810) 359-8700
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501010934
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1790743201
NPI
MI
Enumeration date
05/03/2006
Last updated
02/02/2009
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