Individual
ELEANOR R VERZOSA-MINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
555 N BRADLEY HWY, SUIITE D, ROGERS CITY, MI 49779-1539
(989) 734-2151
(989) 734-7648
Mailing address
555 N BRADLEY HWY, SUIITE D, ROGERS CITY, MI 49779-1539
(989) 734-2151
(989) 734-7648
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501011903
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5501011903
PHYSICAL THERAPIST
MI
Enumeration date
02/18/2011
Last updated
04/07/2015
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