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Individual

MISS FELICIA T MCCALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
17330 NORTHLAND PARK CT, SOUTHFIELD, MI 48075-4318
(248) 281-4961
(248) 415-6289
Mailing address
17330 NORTHLAND PARK CT # 200, SOUTHFIELD, MI 48075-4318
(734) 444-3949

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
MI
261QP2000X
Physical Therapy Clinic/Center
5502003149
MI

Other

Enumeration date
05/18/2021
Last updated
05/18/2021
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