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Individual

KATIE DUFFEY SHEA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
325 E EISENHOWER PKWY, ANN ARBOR, MI 48108-3364
(734) 763-6464
Mailing address
1500 E MEDICAL CENTER DR, ANN ARBOR, MI 48109-5000
(734) 763-6464

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
5501013213
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5501013213
MI
Enumeration date
03/08/2018
Last updated
06/16/2018
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