Individual
STACEY MOREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
38777 6 MILE RD, 209, LIVONIA, MI 48152-2694
(734) 452-0395
Mailing address
21146 HCL JACKSON, GROSSE ILE, MI 48138-1105
(734) 676-2186
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502003576
MI
Other
Enumeration date
01/03/2013
Last updated
01/03/2013
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