Most Relevant Information
Provider Data
| NPI Number: | 1003383035 |
| Provider Name: | SOLEDAD POQUIZ PHYSICAL THERAPIST |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 1588642110 |
Most Important Dates
| Enumeration Date: | 10/29/2018 |
| Last Updated: | 10/29/2018 |
Provider Practice Location
1011 OLD U.S. 27 SUITE A
ST. JOHNS
MI
48879
Practice Location Phone/Fax
| Phone: | 9892244700 |
| Fax: |
Provider Mailing Location
209 PURDY DR
ALMA
MI
488012160
Provider Mailing Phone/Fax
| Phone: | 9893314022 |
| Fax: |