Individual
MR. CESAR ELAGO ESTRADA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1421 OGDEN DR, TROY, MI 48083-5392
(248) 689-2502
(248) 729-7225
Mailing address
1421 OGDEN DR, TROY, MI 48083-5392
(248) 689-2502
(248) 729-7225
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501008636
MI
Other
Enumeration date
08/10/2010
Last updated
08/10/2010
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