Individual
MRS. DIANA HENRY MATHIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 JOHN R RD STE 214, TROY, MI 48083-4317
(313) 652-4939
Mailing address
1000 JOHN R RD STE 214, TROY, MI 48083-4317
(313) 652-4939
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501017750
MI
Other
Enumeration date
11/28/2018
Last updated
11/28/2018
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