Provider Demographics
NPI:1558863365
Name:BAISA, JOCELYN CARTUJANO (PT)
Entity Type:Individual
Prefix:MRS
First Name:JOCELYN
Middle Name:CARTUJANO
Last Name:BAISA
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:743 BINGHAM CT
Mailing Address - Street 2:
Mailing Address - City:COMMERCE TWP
Mailing Address - State:MI
Mailing Address - Zip Code:48382-5012
Mailing Address - Country:US
Mailing Address - Phone:734-771-8394
Mailing Address - Fax:248-465-4686
Practice Address - Street 1:47601 GRAND RIVER AVE
Practice Address - Street 2:
Practice Address - City:NOVI
Practice Address - State:MI
Practice Address - Zip Code:48374-1233
Practice Address - Country:US
Practice Address - Phone:248-465-5800
Practice Address - Fax:248-465-4686
Is Sole Proprietor?:No
Enumeration Date:2018-03-07
Last Update Date:2018-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist