LISA ANNE ETHINGTON

GRAND RAPIDS, MI
NPI1114429883
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: MI  55001004153)
Enumeration Date2018-03-08
Last Update Date2018-03-08
Business Address
LISA ANNE ETHINGTON
80 68TH ST SE
GRAND RAPIDS, MI 49548-6980
Phone number: 616-391-8215
Mailing Address
LISA ANNE ETHINGTON
80 68TH ST SE
GRAND RAPIDS, MI 49548-6980
Phone number: 616-391-8215
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