ELISE FULLMER

HOLLAND, MI
NPI1215606645
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MI  5502005639)
Enumeration Date2021-09-09
Last Update Date2021-09-09
Business Address
ELISE FULLMER PTA
12330 JAMES ST STE H10
HOLLAND, MI 49424-9575
Phone number: 616-582-3142
Mailing Address
ELISE FULLMER PTA
12330 JAMES ST STE H10
HOLLAND, MI 49424-9575
Phone number: 616-582-3142
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