TIFFANY AMBER ELO

GRAND RAPIDS, MI
NPI1114601366
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
(Licence: MI  5502008270)
Enumeration Date2023-06-09
Last Update Date2023-06-09
Business Address
TIFFANY AMBER ELO PTA
1771 KNAPP ST NE UNIT 2
GRAND RAPIDS, MI 49505-4501
Phone number: 231-510-1410
Mailing Address
TIFFANY AMBER ELO PTA
2000 LEONARD ST NE
GRAND RAPIDS, MI 49505-5837
Phone number: