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Organization
PHYSICAL THERAPY ON THE GO LLC
Active
Organization
PHYSICAL THERAPY ON THE GO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY JANE CIACICO PT,DPT (DOCTOR OF PHYSICAL THERAPY)
(586) 201-7183
Entity
Organization
Contact information
Practice address
8909 PRESTWICK LN, WASHINGTON, MI 48095-2829
(586) 201-7183
Mailing address
8909 PRESTWICK LN, WASHINGTON, MI 48095-2829
(586) 201-7183
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
04/28/2023
Last updated
04/28/2023
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