Individual
ALLISON ENGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3990 JOHN R ST, DETROIT, MI 48201-2018
(920) 202-1646
Mailing address
919 ALEXANDER ST SE, GRAND RAPIDS, MI 49507-1452
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501017363
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1689635526
—
MI
Enumeration date
06/14/2018
Last updated
06/14/2018
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