Individual
NATHAN STRUBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1702 WATER ST, PORT HURON, MI 48060-4136
(810) 966-9102
Mailing address
3059 SYLVAN DR, FORT GRATIOT, MI 48059-2856
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502000941
MI
Other
Enumeration date
08/15/2012
Last updated
08/15/2012
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