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Individual

BRITTANY M DELISLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
2305 GENOA BUSINESS PARK DR STE 170, BRIGHTON, MI 48114-7005
(810) 299-8557
(810) 844-0837
Mailing address
2305 GENOA BUSINESS PARK DR STE 170, BRIGHTON, MI 48114-7005
(810) 299-8557
(810) 844-0837

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
027524
NY
225100000X
Physical Therapist
Primary
5501019770
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
694693
ACN PROVIDER ID NUMBER
NY
Enumeration date
07/05/2006
Last updated
08/08/2024
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