AMANDA ILLA PICKWORTH-CHRUSCIEL

NORTHVILLE CHARTER TOWNSHIP, MI
NPI1821656950
Former NameAMANDA ILLA PICKWORTH
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: MI  5501303770)
Additional Taxonomies225200000X Physical Therapy Assistant
(Licence: MI  5502003904)
Enumeration Date2019-06-04
Last Update Date2025-02-05
Business Address
AMANDA ILLA PICKWORTH-CHRUSCIEL PT, DPT
17783 HAGGERTY RD STE B
NORTHVILLE CHARTER TOWNSHIP, MI 48168-9802
Phone number: 734-895-1901
Mailing Address
AMANDA ILLA PICKWORTH-CHRUSCIEL PT, DPT
5536 RESEARCH DR STE A
CANTON, MI 48188-2261
Phone number: 734-895-1901