Individual
JOHN CARLO AGALO-OS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
25106 W 6 MILE RD, REDFORD, MI 48240-2706
(313) 541-1172
Mailing address
25106 W 6 MILE RD, REDFORD, MI 48240-2706
(313) 541-1172
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501011938
MI
Other
Enumeration date
02/18/2014
Last updated
02/18/2014
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