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Individual

MS. ANTONETTE WIBEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
7800 W OUTER DR, DETROIT, MI 48235-3461
(313) 543-6295
Mailing address
4143 IVERNESS LN, WEST BLOOMFIELD, MI 48323-2826
(248) 961-2188

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Enumeration date
03/14/2018
Last updated
03/14/2018
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