Registry details
Type
Individual
Primary specialty
Physical Therapist
Enumerated
Jan 7, 2011
License(s)
5501015323 (MI)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 790 REMINGTON BLVD | Bolingbrook, IL 60440-4909 | 630-296-2223 |
| LOCATION | 5210 HIGHLAND RD STE. 100 | Waterford, MI 48327-1970 | 248-674-9560 |
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