Registry details
Type
Individual
Primary specialty
Physical Therapist
Enumerated
Dec 27, 2006
License(s)
5501008059 (MI)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 2333 BIDDLE AVE | Wyandotte, MI 48192-4668 | 734-246-7732 |
| MAILING | 2333 BIDDLE AVE | Wyandotte, MI 48192-4668 | 734-246-7732 |
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