AUDREY JANE LUNG

KALAMAZOO, MI
NPI1821394958
Former NameAUDREY JANE SHARP
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MI  5502001388)
Enumeration Date2011-02-08
Last Update Date2011-02-08
Business Address
Mrs. AUDREY JANE LUNG PTA
5659 STADIUM DR STE A
KALAMAZOO, MI 49009-1932
Phone number: 269-372-0436
Mailing Address
Mrs. AUDREY JANE LUNG PTA
5659 STADIUM DR STE A
KALAMAZOO, MI 49009-1932
Phone number: 269-372-0436