Individual
MR. JEFFREY CARL ANNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
2160 COOLIDGE HWY, BERKLEY, MI 48072-1547
(248) 691-4700
Mailing address
2160 COOLIDGE HWY, BERKLEY, MI 48072-1547
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
5501007217
MI
Other
Enumeration date
03/07/2018
Last updated
03/07/2018
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