Individual
TALLI LYNN VADNAIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
15023 21 MILE RD, SHELBY TOWNSHIP, MI 48315-5024
(586) 286-9644
Mailing address
800 CHIPPEWA ST, MOUNT CLEMENS, MI 48043-3020
(586) 864-4341
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
03/02/2021
Last updated
03/02/2021
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