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Corey Boland, PTA
NPI 1740537406 · on the registry since 2012
Practice
- Address
- 25336 Timber Ridge Trl
Brownstown, MI 48134 - Phone
- (734) 365-9805
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
- 2012-08-12
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