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Edwin Landon, PTA
NPI 1437407764 · on the registry since 2012
Practice
- Address
- 428 Bridge St Nw
Grand Rapids, MI 49504 - Phone
- (616) 451-4284
- Fax
- (616) 451-4811
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-08-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan