Individual
ADRIENNE I SABELLE STEPHEN JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501012913
MI
2251S0007X
Sports Physical Therapist
5501012913
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38-1415623
—
MI
Enumeration date
04/26/2018
Last updated
04/26/2018
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