Registry details
Type
Individual
Primary specialty
Physical Therapist
Enumerated
Sep 6, 2007
License(s)
5501004921 (MI)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 6344 MIDDLESEX ST | Dearborn, MI 48126-6800 | 313-729-8554 |
| LOCATION | 329 COLUMBIA ST | Algonac, MI 48001-1543 | 810-794-8040 |
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