Individual
KRISTIN N CARL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15959 HALL RD STE 410, MACOMB, MI 48044-5365
(586) 416-6290
(586) 416-6295
Mailing address
13347 NADINE AVE, HUNTINGTON WOODS, MI 48070-1422
(586) 854-1364
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
5501019442
MI
Other
Enumeration date
01/21/2020
Last updated
01/21/2020
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