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1881157964
SHIVANI RAINA BHALLA
GRAND RAPIDS, MI
NPI
1881157964
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501018741)
Enumeration Date
2019-04-07
Last Update Date
2019-04-07
Business Address
SHIVANI RAINA BHALLA
2589 44TH ST SE
GRAND RAPIDS, MI 49512-3877
Phone number: 616-643-2500
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Mailing Address
SHIVANI RAINA BHALLA
2594 KNIGHTSBRIDGE RD SE
GRAND RAPIDS, MI 49546-6755
Phone number: 616-634-0519
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