Individual
JENNIFER CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
25775 W 10 MILE RD STE C, SOUTHFIELD, MI 48033-4856
(248) 809-9941
(248) 809-9941
Mailing address
25775 W 10 MILE RD STE C, SOUTHFIELD, MI 48033-4856
(248) 809-9941
(248) 809-9941
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502005672
MI
Other
Enumeration date
08/16/2018
Last updated
08/16/2018
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