Individual
SOPHIA RENAE CUMMINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
23829 LITTLE MACK AVE, SAINT CLAIR SHORES, MI 48080-1186
(586) 412-8757
Mailing address
12854 WINDSOR CT, STERLING HEIGHTS, MI 48313-4175
(586) 612-4231
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502008089
MI
Other
Enumeration date
06/17/2025
Last updated
06/17/2025
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