Registry details
Type
Individual
Primary specialty
Physical Therapist
Enumerated
Jul 13, 2010
License(s)
031257 (NY), 5501015547 (MI)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 33020 PALMER RD | Westland, MI 48186-5519 | 734-578-0322 |
| MAILING | 7723 BINGHAM ST | Dearborn, MI 48126-1144 | 810-922-4658 |
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