Individual
JENNIFER STATLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1380 LAKE DR, UNIT B, MONROE, MI 48161
(210) 837-4753
Mailing address
1380 LAKE DR, UNIT B, MONROE, MI 48161
(210) 837-4753
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1257253
TX
225100000X
Physical Therapist
Primary
5501016863
MI
Other
Enumeration date
07/18/2015
Last updated
07/18/2015
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