Individual
MRS. ANGELIQUE MARIE STATHAKIOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1731 LINCOLNSHIRE DR, ROCHESTER HILLS, MI 48309-4528
(586) 531-1041
(248) 340-1878
Mailing address
1731 LINCOLNSHIRE DR, ROCHESTER HILLS, MI 48309-4528
(586) 531-1041
(248) 340-1878
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501005429
MI
2251P0200X
Pediatric Physical Therapist
5501005429
MI
Other
Enumeration date
02/20/2014
Last updated
02/20/2014
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