Individual
MRS. JACQUELINE KAPOLNEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
1048 NORTH MONROE ST, MONROE, MI 48162
(734) 241-1400
(734) 241-1414
Mailing address
12550 BURNS RD, CARLETON, MI 48117
(734) 654-0661
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501003403
MI
Other
Enumeration date
03/02/2006
Last updated
07/08/2007
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