Individual
AMY ELIZABETH MAZUREK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
35735 MOUND RD STE 101, STERLING HEIGHTS, MI 48310-4728
(586) 510-7997
Mailing address
500 STEPHENSON HWY STE 300, TROY, MI 48083-1118
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5501011614
LICENSE
MI
Enumeration date
08/29/2006
Last updated
06/18/2024
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