Individual
APOLINARIO FARAO AGUILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
261 MACK AVE, DETROIT, MI 48201-2495
(313) 745-9763
Mailing address
261 MACK AVE, DETROIT, MI 48201-2417
(313) 745-9763
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502003818
MI
Other
Enumeration date
09/01/2021
Last updated
10/23/2024
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