Individual
SOPHIA PRYSOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22950 NORTHLINE RD, TAYLOR, MI 48180-4696
(734) 287-1230
Mailing address
22950 NORTHLINE RD, TAYLOR, MI 48180-4696
(734) 287-1230
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502003041
MI
Other
Enumeration date
11/19/2013
Last updated
11/19/2013
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