Individual
GINO D'AGOSTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
20059 KING RD, WOODHAVEN, MI 48183-1032
(734) 365-5112
(734) 365-5115
Mailing address
33900 HARPER AVE STE 104, CLINTON TOWNSHIP, MI 48035-4258
(586) 350-2644
(586) 541-3735
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501303150
MI
Other
Enumeration date
12/28/2023
Last updated
12/28/2023
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