EMILY MARIE FASE

COOPERSVILLE, MI
NPI1043749732
Former NameEMILY MARIE EMERICK
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: MI  5501020147)
Additional Taxonomies225400000X Rehabilitation Practitioner
Enumeration Date2017-06-07
Last Update Date2023-02-20
Business Address
EMILY MARIE FASE DPT
25 CONRAN DR
COOPERSVILLE, MI 49404-1300
Phone number: 616-997-6172
Mailing Address
EMILY MARIE FASE DPT
1311 MAMARONECK AVE STE 140
WHITE PLAINS, NY 10605-5224
Phone number: 914-294-4050