Registry details
Type
Individual
Primary specialty
Physical Therapist
Enumerated
Oct 11, 2018
License(s)
5501001327 (MI)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 34505 W 12 MILE RD STE 200 | Farmington Hills, MI 48331-3286 | |
| LOCATION | 775 S MAIN ST | Chelsea, MI 48118-1383 | 734-593-6708 |
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