BENJAMIN JOHN WALLIS

NOVI, MI
NPI1871554899
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: MI  1585173)
Enumeration Date2006-03-29
Last Update Date2007-07-08
Business Address
Mr. BENJAMIN JOHN WALLIS MSPT
39885 GRAND RIVER STE 300
NOVI, MI 48375
Phone number: 248-615-0282
Mailing Address
Mr. BENJAMIN JOHN WALLIS MSPT
39885 GRAND RIVER STE 300
NOVI, MI 48375
Phone number: 248-615-0282
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