Miranda Moncada-Sullivan, PT, DPT

NPI #1831690718 in Dewitt, Michigan

Provider Information

NPI Number
1831690718
Entity Type
Individual
Name
Miranda Moncada-Sullivan, PT, DPT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physical Therapist
Credential
PT, DPT
Enumeration Date
Feb 26, 2018
Last Updated
Mar 30, 2022

Practice Location

Address
3946 BLUE SPRUCE DR
City
Dewitt
ZIP Code
48820-9259
Phone
(989) 249-3915

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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