Individual
MISS BAJORI LOUISE DENARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
261 MACK AVE, DETROIT, MI 48201-2417
(313) 745-5636
Mailing address
261 MACK AVE, DETROIT, MI 48201-2495
(313) 745-5636
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501012062
MI
Other
Enumeration date
05/23/2018
Last updated
05/23/2018
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