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BREANNA MARIE WINLING PTA

>> Physical Therapy Assistant >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1487148219

Individual Registrant:
 BREANNA MARIE WINLING PTA
Gender: F
Not Sole Proprietor

Location and contact information for practice:
2001 MINNEAPOLIS AVE STE C  GLADSTONE, MI 49837-2060 US
Tel: 906-428-3085  Fax: 906-428-3086

Contact information for business:
2001 MINNEAPOLIS AVE STE C  GLADSTONE, MI 49837-2060 US
Tel: 906-428-3085  Fax: 906-428-3086

Registration Information:
NPI: 1487148219
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225200000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapy Assistant
MI5502005612

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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