Male or Other

Jerry Crook

Physical Therapy Assistant in Ann Arbor, MI(View on Map)

Full Name

Jerry Crook

NPI Number

1487332474

NPI Type

Individual Provider

Gender

Male

Enumeration Date

07/10/2023

Specialties

(Taxonomies)

Code

225200000X

Primary Taxonomy

Yes

Licenses

State

Michigan

License Number

5502006880

Contact
Information

Purpose

Mailing
Location

Address

2219 LIVERPOOL ST
3200 E EISENHOWER PKWY

City

Auburn Hills
Ann Arbor

State

MI
MI

Postal Code

48326-3420
48108-3231

Country

US
US

Telephone Number

(734) 883-5445
(734) 677-0070

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/10/2023

Provider Address

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