Individual
DR. JAMES JOSEPH CARLISLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
5222 N ROYAL DR, TRAVERSE CITY, MI 49684-6883
(231) 929-0303
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501016071
MI
Other
Enumeration date
09/25/2012
Last updated
04/09/2014
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