Organization
ULTIMATE POTENTIAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA BRICKMAN M.S. CCC-SLP (SPEECH LANGUAGE PATHOLOGIST)
(216) 409-0239
Entity
Organization
Contact information
Practice address
5472 WHISPERING PNES, STEVENSVILLE, MI 49127-9674
(216) 409-0239
Mailing address
5472 WHISPERING PNES, STEVENSVILLE, MI 49127-9674
(216) 409-0239
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
09/14/2022
Last updated
09/14/2022
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