Individual
JACQUELINE ANNE CUNNINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
10909 HANNAN RD, ROMULUS, MI 48174-1383
(734) 893-1033
Mailing address
10909 HANNAN RD, ROMULUS, MI 48174-1383
(734) 893-1033
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501003240
MI
Other
Enumeration date
06/06/2013
Last updated
06/06/2013
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