Individual
ALISSA RAE VARTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2552 MONROE ST, DEARBORN, MI 48124-3014
(313) 278-7800
(313) 730-9880
Mailing address
2552 MONROE ST, DEARBORN, MI 48124-3014
(313) 278-7800
(313) 730-9880
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1487605168
—
MI
Enumeration date
02/23/2018
Last updated
02/23/2018
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