Individual
MS. JULIANNE VINCENT
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
7743 GRAND RIVER RD, #100, BRIGHTON, MI 48114-7393
(810) 227-3588
(810) 227-4993
Mailing address
10921 STONEY POINT DR, SOUTH LYON, MI 48178-9296
(248) 345-5796
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501002145
MI
Other
Enumeration date
05/16/2006
Last updated
07/08/2007
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