Healthcare Provider Details
I. General information
NPI: 1285763565
Provider Name (Legal Business Name): VALERIE MARGARET MACPHERSON PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 03/05/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2121 OAK VALLEY DR
ANN ARBOR MI
48103-8901
US
IV. Provider business mailing address
2121 OAK VALLEY DR
ANN ARBOR MI
48103-8901
US
V. Phone/Fax
- Phone: 734-998-8600
- Fax: 734-998-8599
- Phone: 734-998-8600
- Fax: 734-998-8599
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2251X0800X |
| Taxonomy | Orthopedic Physical Therapist |
| License Number | 5501003974 |
| License Number State | MI |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: