Individual
THERESA ANN MEHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
16616 CAMERON ST, SOUTHGATE, MI 48195-2116
(734) 620-3497
Mailing address
33900 HARPER AVE STE 104, CLINTON TWP, MI 48035-4258
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502003914
MI
Other
Enumeration date
10/27/2022
Last updated
12/26/2025
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