Individual
JENNIFER FARA STANCZAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
15855 19 MILE RD, CLINTON TOWNSHIP, MI 48038-3504
(586) 263-2481
Mailing address
2214 QUEENSBERRY LN, SHELBY TOWNSHIP, MI 48316-2038
(586) 242-5815
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501010924
MI
Other
Enumeration date
06/18/2018
Last updated
04/28/2021
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