Individual
JENNIFER LYNN PRONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3250 W BIG BEAVER RD STE 228, TROY, MI 48084-2909
(586) 792-3633
Mailing address
3250 W BIG BEAVER RD STE 228, TROY, MI 48084-2909
Taxonomy
Speciality
Code
Description
License number
State
226300000X
Kinesiotherapist
Primary
—
—
Other
Enumeration date
10/14/2019
Last updated
10/14/2019
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