Registry details
Type
Individual
Primary specialty
Physical Therapist
Enumerated
Apr 9, 2012
License(s)
5501012858 (MI)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 49255 DOMINION CT | Canton, MI 48187-5807 | 734-844-2336 |
| LOCATION | 38777 6 MILE RD SUITE 209 | Livonia, MI 48152 | 888-414-7056 |
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