Individual
MRS. JESSICA LYNNE HALVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
50174 SCHOENHERR RD, SHELBY TOWNSHIP, MI 48315-3136
(586) 884-5040
(586) 580-0375
Mailing address
33900 HARPER AVE, SUITE 104, CLINTON TOWNSHIP, MI 48035-4258
(586) 416-9100
(586) 416-9103
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501015830
MI
Other
Enumeration date
02/14/2012
Last updated
02/07/2025
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