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Individual

EDWIN C TAMAYO JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
21401 MACK AVE, GROSSE POINTE WOODS, MI 48236-1048
(586) 778-0800
Mailing address
21401 MACK AVE, GROSSE POINTE WOODS, MI 48236-1048
(586) 778-0800

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501012086
MI

Other

Enumeration date
02/28/2018
Last updated
04/12/2019
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