Individual
PEGGY LEE RAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1524 PORTABELLA TRL, MT PLEASANT, MI 48858-4006
(989) 772-2967
Mailing address
105 8 MILE RD, REMUS, MI 49340-9754
(989) 824-8146
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502004766
MI
Other
Enumeration date
04/22/2016
Last updated
04/22/2016
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