Individual
DALE GAYLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
26440 HOOVER RD, WARREN, MI 48089-1190
(586) 486-1700
Mailing address
26440 HOOVER RD, WARREN, MI 48089-1190
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502003587
MI
225200000X
Physical Therapy Assistant
—
—
Other
Enumeration date
05/08/2015
Last updated
02/23/2018
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