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1801100490
TRACIE TOWNSEND
SOUTHFIELD, MI
NPI
1801100490
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Former Name
TRACIE BAUMANN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MI 5502000954)
Enumeration Date
2010-08-06
Last Update Date
2022-03-11
Business Address
TRACIE TOWNSEND
25800 W 11 MILE RD
SOUTHFIELD, MI 48034-6196
Phone number: 248-615-0852
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Mailing Address
TRACIE TOWNSEND
10831 W MORLEY DR
WILLIS, MI 48191-9676
Phone number: 734-646-2781
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