Individual
MRS. DANIELLE MARGUERITE THIBODEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
44600 5 MILE RD, NORTHVILLE, MI 48168-9602
(734) 818-9538
Mailing address
7272 OAKTREE CT, CANTON, MI 48187-1466
(734) 776-0515
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501005430
MI
Other
Enumeration date
05/18/2022
Last updated
05/18/2022
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