Individual
GRACE MALLIRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17141 KERCHEVAL AVE, GROSSE POINTE, MI 48230-1660
(313) 642-4980
Mailing address
920 SHORE CLUB DR, SAINT CLAIR SHORES, MI 48080-1562
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
09/12/2023
Last updated
09/12/2023
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