Individual
JOSE GUADALUPE REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
38221 PLYMOUTH RD STE 3, LIVONIA, MI 48150-1051
(734) 221-0236
(734) 293-4240
Mailing address
38221 PLYMOUTH RD STE 3, LIVONIA, MI 48150-1051
(734) 221-0236
(734) 293-4240
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502005618
MI
Other
Enumeration date
12/21/2022
Last updated
12/21/2022
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