Individual
MR. MICHAEL ROBERT JANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
1001 MT. HERMON ROAD, SALISBURY, MD 21804
(410) 543-7550
Mailing address
202 KINSDALE COURT, SALISBURY, MD 21804
(410) 334-3816
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
19274
MD
Other
Enumeration date
05/04/2007
Last updated
07/08/2007
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