Organization
121 PHYSICAL THERAPY PLLC
Active
Organization
121 PHYSICAL THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILLIAN CARR (OWNER)
(248) 297-1238
Entity
Organization
Contact information
Practice address
901 TOWER DR STE 100, TROY, MI 48098-2817
(248) 275-9332
Mailing address
7210 N MAIN ST STE 103, CLARKSTON, MI 48346-1575
(248) 297-1238
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
07/11/2025
Last updated
07/11/2025
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