Individual
JACKLYN RAE CARRICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2211 FORT ST, WYANDOTTE, MI 48192-4135
(734) 785-5050
(734) 785-5051
Mailing address
33900 HARPER AVE STE 104, CLINTON TWP, MI 48035-4258
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501304258
MI
Other
Enumeration date
01/06/2026
Last updated
01/06/2026
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