Registry details
Type
Individual
Primary specialty
Physical Therapist
Enumerated
Apr 12, 2023
License(s)
5501302005 (MI)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 37367 6 MILE RD | Livonia, MI 48152-2775 | 734-402-2335 |
| MAILING | 33900 HARPER AVE STE 104 | Clinton Twp, MI 48035-4258 | 586-350-2644 |
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