Doctor Name: | SUE ELLEN UGLIETTA |
NPI Number: | 1023415080 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MPT |
License Number: | 5501012000 |
Business Practice Address: | 2816 E Beltline Ln Ne Grand Rapids, MI - 495259432 |
Business Phone Number: | 6163611210 |
Business Fax Number: | 6163618662 |
Mailing Address: | 2816 E Beltline Ln Ne, GRAND RAPIDS |
State: | MI |
Postal Code: | 495259432 |
Phone Number: | 6163611210 |
Fax Number: | 6163618662 |
NPI Enumeration Date: | 11/19/2014 |
NPI Last Update Date: | 11/19/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 5501012000 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |