Individual
DR. JAYNE JOCELYN ROOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2810 BAKER RD, SUITE 101, DEXTER, MI 48130-1114
(734) 424-9710
(734) 424-9711
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501011605
MI
Other
Enumeration date
10/03/2006
Last updated
04/09/2014
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