Individual
ROBERT J LAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
24500 METROPOLITAN PKWY, CLINTON TWP, MI 48035-2023
(586) 790-1100
Mailing address
2222 SULLIVAN TRL, EASTON, PA 18040-7958
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
MI
Other
Enumeration date
07/20/2007
Last updated
07/20/2007
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