Individual
JEFFREY AUSTRIA NGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1515 CAL DR, DAVISON, MI 48423-9016
(810) 496-8888
Mailing address
1515 CAL DR, DAVISON, MI 48423-9016
(810) 496-8888
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501012673
MI
Other
Enumeration date
12/16/2018
Last updated
12/16/2018
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