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Individual

CHARMAINE BERNARDINO MAYALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
910 OAKWOOD DR APT 177, ROCHESTER, MI 48307-1372
(352) 391-7933
Mailing address
910 OAKWOOD DR APT 177, ROCHESTER, MI 48307-1372
(352) 391-7933

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501017825
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00
00
Enumeration date
07/17/2017
Last updated
07/21/2022
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