Individual
JULIO VASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
705 S MAIN ST, STE 220, PLYMOUTH, MI 48170-2089
(773) 549-5294
Mailing address
705 S MAIN ST STE 220, PLYMOUTH, MI 48170-5436
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
06004755A
IN
225200000X
Physical Therapy Assistant
Primary
160006681
IL
Other
Enumeration date
02/25/2014
Last updated
02/25/2014
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