Individual
TRACIE TOWNSEND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
25800 W 11 MILE RD, SOUTHFIELD, MI 48034-6196
(248) 615-0852
Mailing address
10831 W MORLEY DR, WILLIS, MI 48191-9676
(734) 646-2781
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502000954
MI
Other
Enumeration date
08/06/2010
Last updated
03/11/2022
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