Individual
MRS. JAMIE JILL STALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.P.T.
Contact information
Practice address
1987 W PINE RIVER RD, BRECKENRIDGE, MI 48615
(989) 842-3460
(989) 842-5688
Mailing address
1987 W PINE RIVER RD, BRECKENRIDGE, MI 48615
(989) 842-3460
(989) 842-5688
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501010668
MI
Other
Enumeration date
12/19/2006
Last updated
07/08/2007
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