Mansour, Jackleen Farag

Mansour, Jackleen Farag is an sole proprietor health care provider with primary practice located at 1050 W University Dr Suite 3, Rochester MI 48307-1877. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Mansour, Jackleen Farag can be contacted via phone (248) 650-1984.

Contact Information

Primary practice address
1050 W University Dr Suite 3 Rochester MI 48307-1877
Phone: (248) 650-1984
Fax: (248) 650-1994
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 5501012928 Michigan

Profile Details

NPI number 1639444185
LBN Legal business name Mansour, Jackleen Farag
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 16th, 2012
Last updated Mar 16th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers