Individual
AMY LYNN CORREA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
29703 HOOVER RD, WARREN, MI 48093-8901
(586) 582-0340
(586) 582-9540
Mailing address
29703 HOOVER RD, WARREN, MI 48093-8901
(586) 582-0340
(586) 582-9540
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
5501010495
MI
Other
Enumeration date
03/07/2011
Last updated
03/07/2011
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