Individual
JENNIFER MARIE MACDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.ED, ATC, PT
Contact information
Practice address
1261 S LAPEER RD STE 102, LAKE ORION, MI 48360-1419
(248) 690-8030
Mailing address
33900 HARPER AVE STE 104, CLINTON TWP, MI 48035-4258
(586) 350-2644
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501018577
MI
2255A2300X
Athletic Trainer
096.003699
IL
Other
Enumeration date
11/24/2014
Last updated
02/27/2025
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