Individual
EDSEL D OBRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
37764 IRENE DR, STERLING HEIGHTS, MI 48312-1934
(586) 722-4735
(586) 264-8525
Mailing address
37764 IRENE DR, STERLING HEIGHTS, MI 48312-1934
(586) 722-4735
(586) 264-8525
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501011778
MI
Other
Enumeration date
10/05/2018
Last updated
10/05/2018
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