Individual
JACQUELYN CHAPMAN BARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
44201 DEQUINDRE RD STE 203A, TROY, MI 48085-1117
(248) 964-4014
Mailing address
45527 HIDDEN VIEW CT, UTICA, MI 48315-5920
(248) 229-0472
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502004663
MI
Other
Enumeration date
02/19/2018
Last updated
03/17/2018
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