Individual
GEETA DALAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1702 WATER ST, PORT HURON, MI 48060-4136
(810) 966-9102
Mailing address
4410 GRATIOT AVE, PORT HURON, MI 48060-8603
(810) 385-6393
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501001413
MI
Other
Enumeration date
12/20/2011
Last updated
12/20/2011
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