Individual
NATHANIEL JEANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
27240 HAGGERTY RD, SUITE E-15, FARMINGTON HILLS, MI 48331-5716
(866) 991-0900
Mailing address
30 LACROIX RD E, PINEVILLE, LA 71360-7349
(318) 512-1990
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2074711
TX
Other
Enumeration date
10/05/2011
Last updated
10/05/2011
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