Individual
THERESA LYNN WELCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4341 SHERWOOD RD, ORTONVILLE, MI 48462-9273
(248) 431-3300
Mailing address
4341 SHERWOOD RD, ORTONVILLE, MI 48462-9273
(248) 431-3300
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502004972
MI
Other
Enumeration date
12/17/2019
Last updated
12/17/2019
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