Individual
JUSTIN DALKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2147 PROFESSIONAL DR, GAYLORD, MI 49735-0003
(989) 732-1753
Mailing address
2147 PROFESSIONAL DR, GAYLORD, MI 49735-0003
(989) 732-1753
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502005848
MI
Other
Enumeration date
05/30/2023
Last updated
05/30/2023
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