Individual
MR. GERARDO B. CARBONELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
1000 JOHN R RD STE 114, TROY, MI 48083-4317
(248) 850-8745
(248) 843-0044
Mailing address
1000 JOHN R RD STE 114, TROY, MI 48083-4317
(248) 850-8745
(248) 843-0044
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501006432
MI
Other
Enumeration date
11/26/2012
Last updated
02/01/2023
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