Individual
DWANENE JORETTA CHAMBLEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
706 ARBOR VITAE DR, LANSING, MI 48917-9630
(517) 449-6858
Mailing address
706 ARBOR VITAE DR, LANSING, MI 48917-9630
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A-0650
NM
Other
Enumeration date
02/23/2009
Last updated
02/23/2009
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