Most Relevant Information
Provider Data
| NPI Number: | 1003309972 |
| Provider Name: | JANINE MARIE HEATH PT, ATP |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 5501010519 |
Most Important Dates
| Enumeration Date: | 06/14/2018 |
| Last Updated: | 06/14/2018 |
Provider Practice Location
261 MACK AVE
DETROIT
MI
482012417
Practice Location Phone/Fax
| Phone: | 3139668309 |
| Fax: |
Provider Mailing Location
261 MACK AVE
DETROIT
MI
482012417
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |