Individual
FLORENCIO CUSIP AGUSTIN III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
437 W. WASHINGTON AVE, ALPENA, MI 49707
(989) 884-2187
Mailing address
437 W WASHINGTON AVE, ALPENA, MI 49707-2738
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
5501013657
MI
225100000X
Physical Therapist
Primary
P13968
NC
Other
Enumeration date
03/12/2015
Last updated
03/12/2015
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