Individual
CAROLYN ANN STANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
3601 W 13 MILE RD, ROYAL OAK, MI 48073-2494
(248) 898-5499
Mailing address
3601 W 13 MILE RD, ROYAL OAK, MI 48073
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501015099
MI
Other
Enumeration date
03/29/2010
Last updated
03/17/2018
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