THERESA MAXINE WHITESIDE

GRAND BLANC, MI
NPI1790460152
Former NameTHERESA MAXINE DUNCKEL
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MI  5502003469)
Enumeration Date2023-06-21
Last Update Date2023-06-21
Business Address
THERESA MAXINE WHITESIDE PTA
8500 FLETCHER RD
GRAND BLANC, MI 48439-8908
Phone number: 810-701-7827
Mailing Address
THERESA MAXINE WHITESIDE PTA
8500 FLETCHER RD
GRAND BLANC, MI 48439-8908
Phone number: 810-701-7827
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