Individual
KEVIN HARGROW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1449 RUE DEAUVILLE BLVD, YPSILANTI, MI 48198-7551
(734) 353-0356
Mailing address
1449 RUE DEAUVILLE BLVD, YPSILANTI, MI 48198-7551
(734) 353-0356
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502008636
MI
Other
Enumeration date
04/22/2025
Last updated
04/22/2025
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