Individual
CLEMENCE DEJESUS AGUILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Contact information
Practice address
13439 E 14 MILE RD, STERLING HEIGHTS, MI 48312-6304
(586) 977-3900
(586) 977-6084
Mailing address
13439 E 14 MILE RD, STERLING HEIGHTS, MI 48312-6304
(586) 977-3900
(586) 977-6084
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501013043
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5501013043
LICENSE
MI
Enumeration date
04/06/2011
Last updated
04/07/2011
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