Individual
MICHELLE MARTINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
124 W FOURTH ST, SUTTONS BAY, MI 49682-9733
(231) 866-1409
Mailing address
PO BOX 512, SUTTONS BAY, MI 49682-0512
(231) 866-1409
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502003402
MI
Other
Enumeration date
11/04/2013
Last updated
11/04/2013
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