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Individual

CARTER KOVALCIK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
23211 21 MILE RD, MACOMB, MI 48042-5184
(586) 231-0043
Mailing address
1773 STAR BATT DR, ROCHESTER HILLS, MI 48309-3708
(248) 601-9207

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501301872
MI

Other

Enumeration date
01/27/2022
Last updated
01/27/2022
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