Individual
CAROLINA KUDLAWIEC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
29150 HARPER AVE, SAINT CLAIR SHORES, MI 48081-1218
(586) 779-0911
(586) 779-0907
Mailing address
11554 E 12 MILE RD, WARREN, MI 48093-2644
(586) 558-0185
(586) 558-7128
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502002857
MI
Other
Enumeration date
02/21/2017
Last updated
02/21/2017
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