Individual
JOADIE M DEMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
420 W BRAND ST, DURAND, MI 48429-1115
(810) 931-3656
Mailing address
420 W BRAND ST, DURAND, MI 48429-1115
(810) 931-3656
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5002003416
MI
Other
Enumeration date
07/09/2022
Last updated
07/09/2022
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