Individual
MRS. HERMINIGILDA DADULIA DELANTAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
211 W PINE LAKE DRIVE, NEWAYGO, MI 49337
(231) 652-5381
(231) 652-5385
Mailing address
211 W PINE LAKE DRIVE, NEWAYGO, MI 49337
(231) 652-5381
(231) 652-5385
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
5501011201
MI
2251X0800X
Orthopedic Physical Therapist
Primary
5501011201
MI
Other
Enumeration date
02/22/2012
Last updated
02/22/2012
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