JEFFOREY MCLANSON

WATERFORD, MI
NPI1194123505
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MI  5502003670)
Enumeration Date2014-12-17
Last Update Date2014-12-17
Business Address
Mr. JEFFOREY MCLANSON PTA
5601 HATCHERY RD
WATERFORD, MI 48329-3451
Phone number: 248-674-5367
Mailing Address
Mr. JEFFOREY MCLANSON PTA
1350 BALD EAGLE LAKE RD
ORTONVILLE, MI 48462-9038
Phone number: 248-431-3219