NPI 1124660832

Jennifer Lynn Prong

Practitioner Kinesiotherapist Troy, MI

Practice location

Address: 3250 W Big Beaver Rd STE 228, Troy, MI 48084-2909
Phone: (586) 792-3633

Registered specialties

Kinesiotherapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 226300000X

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Registry record

NPI: 1124660832
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Oct 2019
Record last updated: 14 Oct 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.