Individual
THERESA FAVATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
27240 HAGGERTY RD STE E-15, FARMINGTON HILLS, MI 48331-5716
(248) 488-0350
Mailing address
905 NE 7TH AVE, DELRAY BEACH, FL 33483-5709
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A2932
MD
Other
Enumeration date
03/05/2008
Last updated
09/07/2023
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