Individual
ANTHONY MICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14700 KING RD STE B, RIVERVIEW, MI 48193-7909
(734) 288-0235
Mailing address
14700 KING RD STE B, RIVERVIEW, MI 48193-7909
(734) 288-0235
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502007931
MI
Other
Enumeration date
04/25/2022
Last updated
04/25/2022
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