Individual
GABRIELA DIVIRGILIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1000 HARRINGTON ST, MOUNT CLEMENS, MI 48043-2920
(586) 493-8000
Mailing address
1000 HARRINGTON ST, MOUNT CLEMENS, MI 48043-2920
(586) 493-8000
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501010773
MI
Other
Enumeration date
03/27/2018
Last updated
03/27/2018
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