Individual
TREVOR JON VANASSELT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
29665 WILLIAM K SMITH DR, NEW HUDSON, MI 48165-8580
(517) 420-8266
Mailing address
12881 TEN MILE RD, SOUTH LYON, MI 48178-9187
(248) 982-3426
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
07/20/2021
Last updated
07/20/2021
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