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Individual

JOSEPHINE AXIAK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPTA

Contact information

Practice address
34330 VAN BORN RD, WAYNE, MI 48184-2472
(734) 729-5778
Mailing address
34330 VAN BORN RD, WAYNE, MI 48184-2472
(734) 729-5778

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502001157
MI

Other

Enumeration date
01/03/2014
Last updated
01/03/2014
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