Individual
SALLY ANN DULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CTRS
Contact information
Practice address
2700 NASHVILLE RD, HASTINGS, MI 49058-8824
(269) 945-1301
Mailing address
2700 NASHVILLE RD, HASTINGS, MI 49058-8824
(269) 945-1301
(269) 945-5380
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23847
NCTRC
—
Enumeration date
03/13/2018
Last updated
03/13/2018
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