Individual
MISS JO ANNE REBECCA ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1455 SUNCREST DR, LAPEER, MI 48446-1151
(810) 664-8571
Mailing address
1045 ADAMS RD, BURTON, MI 48509-2355
(810) 955-7073
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501016555
MI
Other
Enumeration date
03/18/2018
Last updated
03/18/2018
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