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Hannah Berry

Physical Therapy Assistant in Southfield, MI. Individual provider (NPI-1).

NPI number1972005304
StatusActive
Last updated in NPPESMar 1, 2018

Details

NPI
1972005304
Entity type
Individual (NPI-1)
Name
Hannah Berry
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 1, 2018
Last updated
Mar 1, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy Assistant5502004556MIYes

Practice location

16001 W 9 Mile Rd
Southfield, MI 48075-4818

Phone 248-849-3465

Mailing address

6320 Williamson St
Dearborn, MI 48126-2175

Phone 313-523-2299

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