Individual
MS. TRACY JOURNEE THORNTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPT, J.D.
Contact information
Practice address
824 SEVILLE ROW, DETROIT, MI 48202
(313) 424-9701
Mailing address
824 SEVILLE ROW, DETROIT, MI 48202
(313) 424-9701
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
02/20/2015
Last updated
02/20/2015
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