Individual
DEANNE HERVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
38777 6 MILE RD, SUITE 209, LIVONIA, MI 48152-2694
(734) 666-6000
Mailing address
23692 W LAKE CIR, BROWNSTOWN TWP, MI 48183-2977
(313) 418-8964
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502003627
MI
Other
Enumeration date
04/01/2015
Last updated
04/01/2015
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