Individual
MRS. AUDREY ELAINE MASENGALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1330 W, WASHINGTON, GREENVILLE, MI 48838-2190
(616) 754-7040
(616) 754-7888
Mailing address
1330 W, WASHINGTON, GREENVILLE, MI 48838-2190
(616) 754-7040
(616) 754-7888
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502004076
MI
Other
Enumeration date
07/22/2015
Last updated
07/22/2015
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