Most Relevant Information
Provider Data
| NPI Number: | 1003409673 |
| Provider Name: | CLARISSA MICHEL DPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | PT015121 |
Most Important Dates
| Enumeration Date: | 02/15/2021 |
| Last Updated: | 07/22/2021 |
Provider Practice Location
1060 EAGLES LANDING PKWY STE 130
STOCKBRIDGE
GA
302819091
Practice Location Phone/Fax
| Phone: | 4703695770 |
| Fax: | 4703695771 |
Provider Mailing Location
33900 HARPER AVE STE 104
CLINTON TWP
MI
480354258
Provider Mailing Phone/Fax
| Phone: | 5863502644 |
| Fax: |