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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JACKLEEN FARAG MANSOUR, PT

Active Sole Proprietor

JACKLEEN FARAG MANSOUR, PT is a Physical Therapy Assistant healthcare provider located in ROCHESTER, Michigan. NPI 1639444185 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · ROCHESTER, MI

Registration Details

NPI Number
1639444185
Provider Type
Individual
Gender
Female
NPI Issued
Mar 16, 2012 (14.438726744148 yrs)
Last Updated
Mar 16, 2012
License
5501012928 (MI)
Sole Proprietor
Yes

Practice Information

Address
1050 W UNIVERSITY DR
SUITE 3
ROCHESTER, MI, 483071877
Browse MI providers · Browse ZIP 48307
Phone
2486501984
Fax
2486501994
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in ROCHESTER, MI

Name Credential NPI
VIJAY S DIGAMBARANATH PT 1124078001
EWA PLUSZCZYK P.T. 1790738607
MR. KYOUNG HONG UH 1578586822
SAMIR HANNA PH.D. P.T. 1750575486
GAIL M CAPEHART P.T. 1801053970
MR. BLESSEN SAMUEL PT 1356504310
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.