IAN KINCADE

GRAND BLANC, MI
NPI1033601232
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MI  5502005582)
Enumeration Date2018-06-04
Last Update Date2018-06-04
Business Address
IAN KINCADE PTA
1 GENESYS PKWY
GRAND BLANC, MI 48439-8065
Phone number: 850-529-8212
Mailing Address
IAN KINCADE PTA
6597 SNOW APPLE DR
CLARKSTON, MI 48346-2159
Phone number: 850-529-8212