Provider Demographics
NPI:1841424975
Name:SAARI, JEANETTE LOIS (PT)
Entity Type:Individual
Prefix:MISS
First Name:JEANETTE
Middle Name:LOIS
Last Name:SAARI
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:23077 GREENFIELD RD STE 110
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48075-3744
Mailing Address - Country:US
Mailing Address - Phone:248-569-3002
Mailing Address - Fax:248-569-3008
Practice Address - Street 1:21500 NORTHWESTERN HWY STE 825
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48075-5011
Practice Address - Country:US
Practice Address - Phone:248-483-7980
Practice Address - Fax:248-483-7983
Is Sole Proprietor?:No
Enumeration Date:2009-05-04
Last Update Date:2009-08-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI5501003594225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1841424975Medicare PIN