Individual
GREGORY C HOMBREBUENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
22101 MOROSS RD, DETROIT, MI 48236
(313) 343-7734
Mailing address
48361 SAND CASTLE COURT, SHELBY TOWNSHIP, MI 48315
(586) 801-9644
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501005444
MI
Other
Enumeration date
03/01/2018
Last updated
03/01/2018
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