Individual
JENNIFER MARIE DILLABOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
15023 21 MILE RD, SHELBY TOWNSHIP, MI 48315-5024
(586) 286-9644
Mailing address
29048 E NOTTINGHAM CIR, WARREN, MI 48092-2209
(586) 675-9665
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502001213
MI
Other
Enumeration date
02/08/2021
Last updated
02/08/2021
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