MACOMB OAKLAND REGIONAL CENTER INC.
Restorative Service Providers at 19 Mile Rd, Clinton Twp, MI

License number
Michigan 5501005388
Category
Restorative Service Providers
Type
Physical Therapist
License number
Michigan 5501011192
Category
Restorative Service Providers
Type
Physical Therapist
License number
Michigan 5502002429
Category
Restorative Service Providers
Type
Physical Therapy Assistant
License number
Michigan 5502002486
Category
Restorative Service Providers
Type
Physical Therapy Assistant
Owner
Name: MR. GERALD PROVENCAL
Title: CEO
Phone: (586) 263-8641
Address
Address
16200 19 Mile Rd, Clinton Twp, MI 48038
National Provider ID: 1871696047
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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