Individual
MISTY DANFORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
705 S MAIN ST, SUITE 220, PLYMOUTH, MI 48170-2089
(734) 354-8000
Mailing address
705 S MAIN STREET, SUITE 220, PLYMOUTH, MI 48170
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2064870
TX
Other
Enumeration date
10/17/2011
Last updated
10/17/2011
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