Individual
PRALAY PATRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
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
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
5501005973
MI
Other
Enumeration date
07/30/2019
Last updated
07/30/2019
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