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Individual

MISS SHANNON MAE MERTES

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
49050 SCHOENHERR RD, STE 600, SHELBY TOWNSHIP, MI 48315
(586) 566-8913
(586) 566-8739
Mailing address
36306 UNION LK RD, APT 204, HARRISON TOWNSHIP, MI 48045
(586) 291-8203

Taxonomy

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

Other

Enumeration date
03/23/2006
Last updated
07/08/2007
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