Individual
HECTOR ACUEZA LACANDAZON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
28100 GRAND RIVER AVE STE 210, FARMINGTON HILLS, MI 48336-5913
(248) 471-8648
(248) 471-8781
Mailing address
19816 SCENIC HARBOUR DR, NORTHVILLE, MI 48167-1980
(248) 231-8678
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501004895
MI
Other
Enumeration date
02/21/2018
Last updated
02/21/2018
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