Individual
LINDA NEELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2701 CHESTNUT STATION CT, LOUISVILLE, KY 40299-6395
(800) 335-1060
Mailing address
19606 MADRONE DR, MACOMB, MI 48042-6070
(586) 484-0642
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502000818
MI
Other
Enumeration date
10/08/2015
Last updated
10/08/2015
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