Registry details
Type
Individual
Primary specialty
Physical Therapist
Enumerated
Jul 1, 2010
License(s)
5501014784 (MI)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 4351 24TH AVE STE 1 | Fort Gratiot, MI 48059-4506 | 810-385-7405 |
| MAILING | 4351 24TH AVE STE 1 | Fort Gratiot, MI 48059-4506 | 810-385-7405 |
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