Individual
JACK KATLIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Credential
PT, DPT
Contact information
Practice address
3601 W 13 MILE RD, ROYAL OAK, MI 48073-6712
(248) 898-0166
Mailing address
533 S CROOKS RD, CLAWSON, MI 48017-1816
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501303892
MI
Other
Enumeration date
05/01/2025
Last updated
05/01/2025
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