Carol Jane Polverini
Physical Therapist in Ann Arbor, MI. Individual provider (NPI-1).
NPI number1982191839
StatusActive
Last updated in NPPESApr 17, 2018
Details
- NPI
- 1982191839
- Entity type
- Individual (NPI-1)
- Name
- Carol Jane Polverini
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 17, 2018
- Last updated
- Apr 17, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 5501005275 | MI | Yes |
Practice location
1200 Earhart RdAnn Arbor, MI 48105-2768
Phone 734-929-6883
Mailing address
5166 Forest View CtAnn Arbor, MI 48108-8602
Phone 734-649-0445
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