Individual
JESSICA ELYSE SOMERVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
11878 HUBBARD ST, LIVONIA, MI 48150-1733
(734) 953-1745
(734) 953-1743
Mailing address
11878 HUBBARD ST, LIVONIA, MI 48150-1733
(734) 953-1745
(734) 953-1743
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501018018
MI
Other
Enumeration date
07/11/2017
Last updated
11/14/2022
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