Individual
CESAREO TAMAYO JOVELLANOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHYSICAL THERAPIST
Contact information
Practice address
7633 EAST JEFFERSON, SUITE 170, DETROIT, MI 48214
(313) 499-4309
Mailing address
7633 EAST JEFFERSON, DETROIT, MI 48214
(313) 499-4309
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501005557
MI
Other
Enumeration date
01/02/2007
Last updated
07/08/2007
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