Organization
MICHIGAN MYOTHERAPY CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE GLORIA SARABIA (INDEPENDENT CONTRACTOR)
(949) 326-8989
Entity
Organization
Contact information
Practice address
1221 BRIARWOOD DR, PORT HURON, MI 48060-2092
(810) 488-0787
Mailing address
1221 BRIARWOOD DR, PORT HURON, MI 48060-2092
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501005929
MI
Other
Enumeration date
05/14/2016
Last updated
05/14/2016
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