Individual
AMY LEE HANLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
855 W JEFFERSON ST LOT 84, GRAND LEDGE, MI 48837-1380
(616) 755-3306
Mailing address
855 W JEFFERSON ST LOT 84, GRAND LEDGE, MI 48837-1380
(616) 755-3306
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
05/19/2014
Last updated
05/19/2014
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