Organization
MAVERICK CONSULTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEANNA SINCLAIR MHS, OTR/L (OWNER)
(231) 633-6988
Entity
Organization
Contact information
Practice address
633 W SOUTH AIRPORT RD # B, TRAVERSE CITY, MI 49686
(231) 633-6988
(231) 421-5916
Mailing address
633 W SOUTH AIRPORT RD # B, TRAVERSE CITY, MI 49686
(231) 633-6988
(231) 421-5916
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
5201004034
MI
Other
Enumeration date
05/31/2012
Last updated
05/31/2012
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