Individual
JENNIFER LAUREN PAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
13374 HERBERT AVE, WARREN, MI 48089-1383
(248) 709-0626
Mailing address
13374 HERBERT AVE, WARREN, MI 48089-1383
(248) 709-0626
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501016843
MI
Other
Enumeration date
08/18/2017
Last updated
03/04/2024
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