Individual
JANE FAHLGREN GRAMBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
17150 WATERLOO ST, GROSSE POINTE, MI 48230-1201
(313) 473-4700
Mailing address
17150 WATERLOO ST STE 150, GROSSE POINTE, MI 48230-1201
(313) 473-4700
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
5501002235
MI
Other
Enumeration date
02/19/2018
Last updated
02/06/2020
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