Individual
GRAZIA BUFFA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA, NBC-HWC
Contact information
Practice address
54642 HIBISCUS DR, MACOMB, MI 48042-2263
(586) 246-1123
Mailing address
54642 HIBISCUS DR, MACOMB, MI 48042-2263
(586) 246-1123
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
A-3694981
MI
225200000X
Physical Therapy Assistant
5502002045
MI
Other
Enumeration date
04/17/2023
Last updated
04/17/2023
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