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GLENDA KAY MAINES PT

>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1801879531

Individual Registrant:
 GLENDA KAY MAINES PT
Gender: F
Not Sole Proprietor

Location and contact information for practice:
125 E GRAND RIVER AVE  FOWLERVILLE, MI 48836-5137 US
Tel: 517-223-8308  Fax: 517-223-8344

Contact information for business:
PO BOX 323  FOWLERVILLE, MI 48836 US
Tel: 517-223-8308  Fax: 517-223-8344

Registration Information:
NPI: 1801879531
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
MI5501002054

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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