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Individual

BARBARA MIRANDETTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
1550 3 MILE RD NW, SUITE B, GRAND RAPIDS, MI 49544-8251
(616) 785-8535
(616) 785-1201
Mailing address
1550 3 MILE RD NW, SUITE B, GRAND RAPIDS, MI 49544-8251
(616) 785-8535
(616) 785-1201

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501002686
MI

Other

Enumeration date
09/25/2014
Last updated
09/25/2014
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