Organization
121 PHYSICAL THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILLIAN CARR (PHYSICAL THERAPIST)
(248) 877-3389
Entity
Organization
Contact information
Practice address
7210 N MAIN ST STE 103, CLARKSTON, MI 48346-1575
(248) 877-3389
Mailing address
7210 N MAIN ST STE 103, CLARKSTON, MI 48346-1575
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
10/28/2024
Last updated
10/28/2024
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