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Individual

CHARLES EMMETT ZEPP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
525 N MAIN ST STE 120, MILFORD, MI 48381-1592
(248) 329-3700
(248) 329-3881
Mailing address
33900 HARPER AVE STE 104, CLINTON TWP, MI 48035-4258
(586) 350-2644
(586) 541-3735

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501020051
MI
2251S0007X
Sports Physical Therapist
5501020051
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
016839
OHIO LICENSE
OH
Enumeration date
05/17/2017
Last updated
05/16/2023
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