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Individual

MRS. DIONNE NATASHA SHELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
16166 FENMORE ST, DETROIT, MI 48235
(313) 273-5897
Mailing address
16166 FENMORE ST, DETROIT, MI 48235-3419
(313) 273-5897

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
551009519
MI
225100000X
Physical Therapist
Primary
5501009519
MI

Other

Enumeration date
05/16/2007
Last updated
05/24/2018
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