Individual
JUSTINE RAE FERRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 E MICHIGAN AVE, JACKSON, MI 49201-1498
(517) 205-7252
Mailing address
9880 SOMERSET RD, CEMENT CITY, MI 49233-9031
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501018514
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5501018514
PHYSICAL THERAPIST LICENSE
MI
Enumeration date
05/08/2018
Last updated
05/08/2018
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