Individual
MR. GARY ALLEN IBERSHOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
38777 6 MILE RD STE 209, LIVONIA, MI 48152-2660
(734) 452-0395
Mailing address
38777 6 MILE RD STE 209, LIVONIA, MI 48152-2660
(734) 452-0395
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501003523
MI
Other
Enumeration date
11/19/2014
Last updated
11/19/2014
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