Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MIRANDA MONCADA-SULLIVAN, PT, DPT
Active Sole ProprietorMIRANDA MONCADA-SULLIVAN, PT, DPT is a Physical Therapy Assistant healthcare provider located in DEWITT, Michigan. NPI 1831690718 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · DEWITT, MI
Registration Details
- NPI Number
- 1831690718
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 26, 2018 (8.2847563972132 yrs)
- Last Updated
- Mar 30, 2022
- License
-
5501016790 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3946 BLUE SPRUCE DRDEWITT, MI, 488209259Browse MI providers · Browse ZIP 48820
- Phone
- 9892493915
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Physical Therapy Assistant
Other Physical Therapy Assistant Providers in DEWITT, MI
| Name | Credential | NPI |
|---|---|---|
| MS. STEPHANIE M RADAWIEC | PT | 1659572998 |
| DR. RYAN MATTHEW RABORN | PT | 1477794881 |
| JAREN MARIE PICKENS GEBHARD | PT | 1710115258 |
| MISS DEEANNE KRISTIN SCHWALM | PT, DPT | 1427350198 |
| JULIA DRAKE | PT, DPT | 1568863082 |
| THOMAS LACLAIR | DPT, CSCS | 1457809196 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.