Provider Demographics
NPI:1386859494
Name:APPLEDORN, ANNALEE GAYE-SLINGERLAND (DPT)
Entity type:Individual
Prefix:MRS
First Name:ANNALEE
Middle Name:GAYE-SLINGERLAND
Last Name:APPLEDORN
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:4115 TURNBRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:HOLT
Mailing Address - State:MI
Mailing Address - Zip Code:48842-1835
Mailing Address - Country:US
Mailing Address - Phone:517-694-1208
Mailing Address - Fax:
Practice Address - Street 1:3536 MERIDIAN CROSSINGS
Practice Address - Street 2:SUITE 240
Practice Address - City:OKEMOS
Practice Address - State:MI
Practice Address - Zip Code:48864-4584
Practice Address - Country:US
Practice Address - Phone:517-347-2495
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-11
Last Update Date:2011-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501011834225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist