Individual
MS. JACQUELINE FRANCES DERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T., M.S.
Contact information
Practice address
2215 FULLER RD, 117-B, ANN ARBOR, MI 48105-2335
(734) 769-7100
(734) 213-6947
Mailing address
2215 FULLER RD, 117B, ANN ARBOR, MI 48105-2303
(734) 769-7100
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501001061
MI
2251C2600X
Cardiopulmonary Physical Therapist
5501001061
MI
Other
Enumeration date
09/21/2006
Last updated
07/13/2007
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