Individual
MRS. MEAGAN JEAN WARDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA, LMT
Contact information
Practice address
740 W GRAND RIVER AVE, BRIGHTON, MI 48116-2392
(810) 227-3588
Mailing address
740 W GRAND RIVER, BRIGHTON, MI 48116
(810) 227-3588
(810) 626-4045
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502004372
MI
225700000X
Massage Therapist
7501000683
MI
Other
Enumeration date
11/08/2017
Last updated
11/14/2018
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