Individual
MRS. TIFFANY JOY GELLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
127 S MAIN ST, SUITE 111, PLYMOUTH, MI 48170-1791
(734) 354-8000
Mailing address
1320 BERKSHIRE RD, GROSSE POINTE PARK, MI 48230-1036
(313) 432-0239
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
02/01/2007
Last updated
07/08/2007
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