Individual
DENNIS DACLISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
20225 DANBURY LN, HARPER WOODS, MI 48225-1156
(313) 884-8920
Mailing address
6077 BIG ROCK DR, GRAND BLANC, MI 48439-7993
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501006639
MI
Other
Enumeration date
11/09/2006
Last updated
07/08/2007
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