SALLY RANIE ROSE BURBANK

JACKSON, MI
NPI1336720895
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MI  5502003714)
Enumeration Date2021-04-16
Last Update Date2021-04-16
Business Address
SALLY RANIE ROSE BURBANK PTA
205 N EAST AVE
JACKSON, MI 49201-1753
Phone number: 517-205-4704
Mailing Address
SALLY RANIE ROSE BURBANK PTA
205 N EAST AVE
JACKSON, MI 49201-1753
Phone number: 517-205-4704