Individual
MICHELE LYNN AVERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15959 HALL RD STE 203, MACOMB, MI 48044-5366
(586) 416-6216
(586) 416-6226
Mailing address
15959 HALL RD STE 203, MACOMB, MI 48044-5366
(586) 416-6216
(586) 416-6226
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
5501019403
MI
Other
Enumeration date
01/23/2020
Last updated
01/23/2020
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