Individual
TRACIE TODD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
11930 WHITMORE LAKE RD, SUITE I-M, WHITMORE LAKE, MI 48189-9153
(734) 449-4649
Mailing address
11930 WHITMORE LAKE RD, SUITE I-M, WHITMORE LAKE, MI 48189-9153
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
5501009577
MI
Other
Enumeration date
09/11/2008
Last updated
09/11/2008
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