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Individual

BRUNO GERVASI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
16000 SOUTHFIELD RD, ALLEN PARK, MI 48101-2563
(313) 359-8867
(313) 359-8868
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501016170
MI

Other

Enumeration date
02/01/2013
Last updated
05/30/2024
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