Individual
MR. GRAND LLOYD PERELLO MARIANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPT, MAED
Contact information
Practice address
1638 MARSHBANK DR, PONTIAC, MI 48340-1076
(248) 462-2972
Mailing address
1638 MARSHBANK DR, PONTIAC, MI 48340-1076
(248) 462-2972
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
03/08/2022
Last updated
03/08/2022
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