Individual
CHELSEA LIANE PETRAKOVITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
900 COOPER ST, JACKSON, MI 49202-3398
(517) 780-9500
Mailing address
5800 FOLKS RD, HORTON, MI 49246-9632
(517) 745-7685
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501017232
MI
Other
Enumeration date
10/15/2018
Last updated
04/13/2021
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