Individual
JAMIE JO CLAYTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
799 DENISON COURT, 2ND FLOOR, BLOOMFIELD HILLS, MI 48302-0301
(248) 630-4333
(248) 630-4388
Mailing address
799 DENISON COURT, 2ND FLOOR, BLOOMFIELD HILLS, MI 48302-0301
(248) 630-4333
(248) 630-4388
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
5501011924
MI
225100000X
Physical Therapist
5501011924
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
650F333640
BLUE CROSS BLUE SHIELD
MI
Enumeration date
10/10/2006
Last updated
11/23/2009
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