Individual
JOHN ALEX TANALGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
17197 N LAUREL PARK DR, SUITE 555, LIVONIA, MI 48152-2680
(734) 779-9700
(734) 779-9799
Mailing address
17197 N LAUREL PARK DR, SUITE 555, LIVONIA, MI 48152-2680
(734) 779-9700
(734) 779-9799
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501014870
MI
Other
Enumeration date
08/21/2014
Last updated
08/21/2014
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