Individual
JESSIE A HADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
NORTHVILLE HEALTH CENTER, 39901 TRADITIONS DR., NORTHVILLE, MI 48168
(248) 305-4400
Mailing address
1619 KIRTLAND DR, ANN ARBOR, MI 48103-5725
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502004547
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5502004547
PHYSICAL THERAPIST ASSISTANT
MI
05
—
5502004547
—
MI
Enumeration date
03/09/2018
Last updated
03/09/2018
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