Individual
MARYLOU JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1663 STEPHENSON HWY, TROY, MI 48083-2169
(248) 327-6619
(248) 327-6628
Mailing address
3176 HADDEN RD, ROCHESTER, MI 48306-1132
(586) 524-4183
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502002185
MI
Other
Enumeration date
11/20/2019
Last updated
11/20/2019
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