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Individual

BRETT CAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
2120 43RD ST SE, SUITE 100, GRAND RAPIDS, MI 49508-3772
(616) 281-1144
Mailing address
1907 CRABTREE LN, JENISON, MI 49428-9472

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501016915
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5501016915
LICENSE NUMBER
MI
Enumeration date
08/26/2014
Last updated
08/26/2014
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