Individual
JENNA MCTEVIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5669 LAKESHORE RD, FORT GRATIOT, MI 48059-2817
(810) 385-7260
Mailing address
40 DAVENPORT ST, DETROIT, MI 48201-2404
(810) 434-9687
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501018940
MI
Other
Enumeration date
04/21/2019
Last updated
03/23/2021
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