Individual
JESSICA BARTOLO CARREIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
38777 6 MILE RD, SUITE 209, LIVONIA, MI 48152-2694
(734) 452-0395
Mailing address
38777 6 MILE RD, SUITE 209, LIVONIA, MI 48152-2694
(734) 452-0395
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501015871
MI
Other
Enumeration date
11/09/2012
Last updated
11/09/2012
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