Individual
DESIREE KAY JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1201 E MICHIGAN AVE, JACKSON, MI 49201-1852
(517) 205-7633
Mailing address
28495 S DR N, SPRINGPORT, MI 49284-9447
(517) 581-9329
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502005305
MI
Other
Enumeration date
03/31/2021
Last updated
04/06/2021
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