Registry details
Type
Individual
Primary specialty
Physical Therapist
Enumerated
Dec 21, 2007
License(s)
5501012537 (MI)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 11554 E 12 MILE RD | Warren, MI 48093-2644 | 586-558-0185 |
| LOCATION | 39591 GARFIELD RD | Clinton Township, MI 48038-4300 | 586-412-4964 |
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