Individual
MRS. ALYSE M ELBODE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
210 TOWN CENTER DR, TROY, MI 48084-1774
(866) 812-8896
Mailing address
12388 FRANK DR, ROMEO, MI 48065-4490
(586) 746-9845
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502005882
MI
Other
Enumeration date
12/19/2022
Last updated
12/19/2022
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