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Individual

MRS. NICOLE MARIE SHARP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPTA

Contact information

Practice address
2600 UNION LAKE RD, SUITE 120, COMMERCE TWP, MI 48382-3588
(248) 366-1118
(248) 366-1011
Mailing address
2600 UNION LAKE RD, SUITE 120, COMMERCE TWP, MI 48382-3588
(248) 366-1118
(248) 366-1011

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502002090
MI

Other

Enumeration date
08/03/2010
Last updated
08/03/2010
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