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Individual

JAIME CANADA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
44670 ANN ARBOR RD W STE 140, PLYMOUTH, MI 48170-3962
(734) 673-8545
Mailing address
10601 BAKER AVE SE, ALTO, MI 49302-9619
(616) 401-4794

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NA
NA
Enumeration date
05/02/2022
Last updated
04/10/2025
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