Individual
ASHOK K JEWANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5669 LAKESHORE RD, FORT GRATIOT, MI 48059-2817
(810) 385-7260
Mailing address
3964 ARLINGTON AVE, FORT GRATIOT, MI 48059-3763
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501004621
MI
Other
Enumeration date
03/16/2018
Last updated
03/16/2018
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