Individual
JAMES MOUTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
4967 CROOKS RD STE 150, TROY, MI 48098-5802
(248) 509-9700
(248) 509-9701
Mailing address
33900 HARPER AVE STE 104, CLINTON TWP, MI 48035-4258
(586) 350-2644
(586) 541-3735
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502004797
MI
Other
Enumeration date
06/25/2018
Last updated
12/26/2023
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