Individual
MISS KELLY HEMENWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
401 DADSON DR, LANSING, MI 48911-6534
(517) 881-1850
Mailing address
401 DADSON DR, LANSING, MI 48911-6534
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
8093
CA
Other
Enumeration date
06/24/2008
Last updated
06/24/2008
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