Individual
EMMA NOELLE-MARIE MOOTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2830 S MAIN ST, ANN ARBOR, MI 48103-5806
(734) 412-4727
Mailing address
1501 JONES DR APT 22, ANN ARBOR, MI 48105-1837
(989) 859-6626
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502008022
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5502008022
MICHIGAN LICENSING BOARD
MI
Enumeration date
06/16/2022
Last updated
06/16/2022
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