Individual
JANISE CARLISLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CTRS
Contact information
Practice address
7794 PAINT CREEK DR, YPSILANTI, MI 48197-6139
(734) 352-3543
Mailing address
7794 PAINT CREEK DR, YPSILANTI, MI 48197-6139
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
—
Other
Enumeration date
02/07/2023
Last updated
02/13/2023
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