Individual
LAURA MCNEILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3687 S HARRISON RD, HOUGHTON LAKE, MI 48629-9668
(989) 302-2108
Mailing address
3687 S HARRISON RD, HOUGHTON LAKE, MI 48629-9668
(989) 302-2108
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502000561
MI
Other
Enumeration date
05/02/2014
Last updated
05/02/2014
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