Individual
MRS. ALYSSA CALLAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
47601 GRAND RIVER AVE, NOVI, MI 48374-1233
(248) 465-5800
Mailing address
23833 BROADMOOR PARK LN, NOVI, MI 48374-3676
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502003768
MI
Other
Enumeration date
02/28/2018
Last updated
02/28/2018
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