Individual
BRYCE ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
42350 GRAND RIVER AVE, NOVI, MI 48375-1838
(248) 697-2942
Mailing address
6013 STRAWBERRY LAKE RD, WHITMORE LAKE, MI 48189-9395
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502008088
MI
Other
Enumeration date
01/25/2023
Last updated
01/25/2023
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