Individual
MR. JESUS ANTONIO DECENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2626 N MICHIGAN AVE, SAGINAW, MI 48604-2422
(989) 233-8288
Mailing address
7315 QUAIL ST, PORTAGE, MI 49024-4202
(989) 233-8288
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5502000539
PHYSICAL THERAPIST ASSISTANT
MI
Enumeration date
04/12/2007
Last updated
09/27/2021
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