Individual
AMANDA LABA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
468 CADIEUX RD, GROSSE POINTE, MI 48230-1507
(947) 523-4080
Mailing address
6550 STARVILLE RD, COTTRELLVILLE, MI 48039-1810
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501015847
MI
Other
Enumeration date
02/23/2018
Last updated
08/17/2021
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