Individual
MRS. AUDREY IMBUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4111 S. CANTON CENTER RD, CANTON, MI 48188
(734) 397-0496
(734) 397-1349
Mailing address
4111 S CANTON CENTER RD, CANTON, MI 48188-2489
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501007223
MI
Other
Enumeration date
02/27/2018
Last updated
02/27/2018
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