Individual
JOANNE CAROL JANICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
138 SERVICE RD, STE A114, EAST LANSING, MI 48824
(517) 355-7648
Mailing address
D128 WEST FEE HALL, EAST LANSING, MI 48824
(517) 355-3503
(517) 432-1167
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501003891
MI
Other
Enumeration date
12/14/2006
Last updated
07/08/2007
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