Individual
BRYAN JOEL MUCHORTOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
4949 COOLIDGE HWY, ROYAL OAK, MI 48073-1026
(248) 655-5700
Mailing address
1553 MERRICK ST, DETROIT, MI 48208-1713
(586) 242-7033
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501018090
MI
Other
Enumeration date
02/28/2018
Last updated
02/28/2018
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