Individual
MS. MICHELLE MARIE LAURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
277 E LOVELL DR, TROY, MI 48085-1521
(586) 604-4462
Mailing address
277 E LOVELL DR, TROY, MI 48085-1521
(586) 604-4462
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
09/06/2007
Last updated
09/06/2007
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