Individual
JOY SEBASTIANA PANTI BENAVIDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
20180 W 12 MILE RD, SUITE 100, SOUTHFIELD, MI 48076-5412
(248) 223-9230
(248) 223-9244
Mailing address
2019 HYLAND ST, FERNDALE, MI 48220-1240
(248) 224-5383
(248) 544-3076
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501014276
MI
Other
Enumeration date
06/23/2015
Last updated
06/23/2015
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