Individual
MAKAYLA AVERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21017 MIDDLEBELT RD, FARMINGTON HILLS, MI 48336-5547
(248) 476-8300
Mailing address
19698 RALEIGH CIR S, SOUTHFIELD, MI 48076-2400
(248) 252-6355
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502005791
MI
Other
Enumeration date
10/20/2023
Last updated
10/20/2023
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