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1174024525
JOEL PERMODA MANN
LANSING, MI
NPI
1174024525
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225XP0019X Occupational Therapist, Physical Rehabilitation
(Licence: MI 5201007608)
Enumeration Date
2018-02-21
Last Update Date
2024-07-10
Business Address
JOEL PERMODA MANN OTR
15945 WOOD RD
LANSING, MI 48906-1746
Phone number: 517-394-1234
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Mailing Address
JOEL PERMODA MANN OTR
511 WESTMORELAND AVE
LANSING, MI 48915-1972
Phone number: 517-749-0745
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