Individual
ALAIN GOREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
43314 MOUND RD, STERLING HEIGHTS, MI 48314-2022
(586) 646-2278
Mailing address
43314 MOUND RD, STERLING HEIGHTS, MI 48314-2022
(586) 646-2278
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010077
LIC
MI
01
—
5501010077
LIC
MI
Enumeration date
04/10/2012
Last updated
04/10/2012
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