Individual
AUTUMN FAWN HOWARD I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1800 E JORDAN RD LOT 1, MOUNT PLEASANT, MI 48858-9746
(989) 560-4661
Mailing address
1800 E JORDAN RD LOT 1, MOUNT PLEASANT, MI 48858-9746
(989) 560-4661
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502001683
MI
Other
Enumeration date
07/28/2017
Last updated
07/21/2022
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