Individual
JOMON K JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
250 DENBY ST, SUITE #15, ROMEO, MI 48065-5228
(586) 331-7242
Mailing address
37681 MCKENZIE CT, FARMINGTON HILLS, MI 48331-2899
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501011802
MI
Other
Enumeration date
04/27/2011
Last updated
04/27/2011
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