Individual
MICHAEL HIMAWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1445 DAYTON ST, AURORA, CO 80010-3232
(626) 203-1689
Mailing address
995 SCRANTON ST, AURORA, CO 80011-6403
(626) 203-1689
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
09/10/2019
Last updated
09/10/2019
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