Individual
TIMOTHY MICHAEL CAROLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5301 E HURON RIVER DR, YPSILANTI, MI 48197-1051
(734) 712-3456
Mailing address
34505 W 12 MILE RD STE 200, FARMINGTON HILLS, MI 48331-3286
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502001583
MI
Other
Enumeration date
04/27/2018
Last updated
04/27/2018
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