HOLLY ERIN BANNINGA

GRAND RAPIDS, MI
NPI1477800357
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MI  L2091952)
Enumeration Date2012-08-09
Last Update Date2012-08-09
Business Address
Mrs. HOLLY ERIN BANNINGA PTA
1471 GRACE ST SE
GRAND RAPIDS, MI 49506-1678
Phone number: 616-913-2006
Mailing Address
Mrs. HOLLY ERIN BANNINGA PTA
1471 GRACE ST SE
GRAND RAPIDS, MI 49506-1678
Phone number: 616-913-2006
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