Individual
MS. JANET CELESTE LAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA, AT, ATC
Contact information
Practice address
45610 CHERRY HILL RD, CANTON, MI 48187-5072
(734) 981-1500
(734) 981-1515
Mailing address
45610 CHERRY HILL RD, CANTON, MI 48187-5072
(734) 981-1500
(734) 981-1515
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502004057
MI
2255A2300X
Athletic Trainer
2601000012
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5502004057
STATE LICENSE
MI
Enumeration date
04/07/2006
Last updated
09/25/2013
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