Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 226300000X | Kinesiotherapist | 1189 |
NPI | 1558375261 |
---|---|
Provider Name | Mrs. Ann L Greiner |
First Address | Portage, MI 49024 |
Second Address | Battle Creek, MI 49017 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/07/2006 |
Last Update Date | 08/07/2007 |