Individual
MR. DOMINIC ANTHONY CUSUMANO IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
48875 HAYES RD, SHELBY TWP, MI 48315-4405
(586) 532-9602
(586) 439-5380
Mailing address
1773 STAR BATT DR, ROCHESTER HILLS, MI 48309-3708
(248) 601-9207
(248) 650-8670
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501018404
MI
Other
Enumeration date
09/06/2017
Last updated
09/06/2017
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