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1114493368
CHELSEA LIANE PETRAKOVITZ
JACKSON, MI
NPI
1114493368
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Former Name
CHELSEA LIANE VADER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501017232)
Enumeration Date
2018-10-15
Last Update Date
2021-04-13
Business Address
CHELSEA LIANE PETRAKOVITZ DPT
900 COOPER ST
JACKSON, MI 49202-3398
Phone number: 517-780-9500
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Mailing Address
CHELSEA LIANE PETRAKOVITZ DPT
5800 FOLKS RD
HORTON, MI 49246-9632
Phone number: 517-745-7685
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