Individual
MRS. BETTY KALLIS GUSHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
26091 SHERWOOD AVE, SUITE 114, WARREN, MI 48091-6602
(586) 755-4711
(586) 755-7211
Mailing address
1195 LYONHURST ST, BIRMINGHAM, MI 48009-1015
(248) 644-2465
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501300666
MI
Other
Enumeration date
08/17/2007
Last updated
08/17/2007
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