Individual
JANAE MARIE THALER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
235 WEALTHY ST SE, GRAND RAPIDS, MI 49503-5247
(616) 840-8558
Mailing address
11441 BARNSLEY, LOWELL, MI 49331-8656
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
5501016310
MI
Other
Enumeration date
02/28/2018
Last updated
02/28/2018
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