Individual
MR. JEFF CLINANSMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
39901 TRADITIONS DR, NORTHVILLE, MI 48168-9493
(248) 305-4400
Mailing address
39901 TRADITIONS DR, NORTHVILLE, MI 48168-9493
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502003531
MI
Other
Enumeration date
03/20/2018
Last updated
03/20/2018
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