Individual
ISAGANI DEGUZMAN VILLAROMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
36137 WARREN RD, WESTLAND, MI 48185-2027
(734) 728-6100
(734) 728-9741
Mailing address
36537 NEWBERRY ESTATES DR, WESTLAND, MI 48185-8308
(734) 812-1359
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501009921
MI
Other
Enumeration date
09/20/2018
Last updated
09/20/2018
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