Individual
ASHLEY LYNN GRANICA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
39450 W 12 MILE RD, NOVI, MI 48377-3600
(248) 344-2300
Mailing address
25340 KELLI CT, TAYLOR, MI 48180-5071
(734) 626-5213
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502006268
MI
Other
Enumeration date
09/27/2024
Last updated
09/27/2024
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