Individual
MISS RAEANN G HOSFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
2815 S PENNSYLVANIA AVE, LANSING, MI 48910-3495
(517) 975-9900
Mailing address
14565 ABBEY LN APT A7, BATH, MI 48808-7714
(517) 896-4456
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5501008925
MI
Other
Enumeration date
12/16/2018
Last updated
12/16/2018
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