Individual
GLENDA KAY MAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
125 E GRAND RIVER AVE, FOWLERVILLE, MI 48836-5137
(517) 223-8308
(517) 223-8344
Mailing address
PO BOX 323, FOWLERVILLE, MI 48836
(517) 223-8308
(517) 223-8344
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501002054
MI
Other
Enumeration date
11/28/2005
Last updated
10/26/2012
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