Individual
CARRIE DODGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
235 E MAIN ST, SUITE 104, NORTHVILLE, MI 48167-2494
(248) 349-5050
(248) 349-7575
Mailing address
235 E MAIN ST, SUITE 104, NORTHVILLE, MI 48167-2494
(248) 349-5050
(248) 349-7575
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
MI
Other
Enumeration date
07/18/2008
Last updated
07/18/2008
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