Individual
ELYSE WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
27555 FARMINGTON RD, SUITE 140, FARMINGTON HILLS, MI 48334-3376
(248) 516-1300
(248) 516-1301
Mailing address
33900 HARPER AVE, SUITE 104, CLINTON TOWNSHIP, MI 48035-4258
(586) 416-9100
(586) 416-9103
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501017500
MI
Other
Enumeration date
05/19/2016
Last updated
05/19/2016
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