Individual
CAROLYN M MICHALIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
20952 E 12 MILE RD, STE 110, SAINT CLAIR SHORES, MI 48081-3200
(586) 498-3516
Mailing address
17545 ADOLPH, FRASER, MI 48026-1780
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501004914
MI
Other
Enumeration date
02/06/2007
Last updated
07/08/2007
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