Individual
ALEA WOLOSZYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1845 LIVERNOIS RD, TROY, MI 48083-1731
(248) 362-2150
Mailing address
1845 LIVERNOIS RD, TROY, MI 48083-1731
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501018023
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5501018023
STATE LICENSE
MI
Enumeration date
04/11/2018
Last updated
04/11/2018
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