Individual
MELISSA KAE SYRJALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1330 W. WASHINGTON, GREENVILLE, MI 48838
(616) 754-7040
(616) 754-7888
Mailing address
1330 W. WASHINGTON, GREENVILLE, MI 48838
(616) 754-7040
(616) 754-7888
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502000086
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30435
BLUE CROSS BLUE SHIELD
MI
Enumeration date
01/08/2015
Last updated
01/08/2015
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