Individual
MIA HOUSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
27472 SCHOENHERR RD, SUITE 130, WARREN, MI 48088-6688
(586) 439-6243
(586) 439-6240
Mailing address
27472 SCHOENHERR RD, SUITE 130, WARREN, MI 48088-6688
(586) 439-6243
(586) 439-6240
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502003842
MI
Other
Enumeration date
11/09/2015
Last updated
11/09/2015
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