Imelda Cua Avila P.T.

NPI 1104946094 - Physical Therapist - 225100000X

NPI Details
NPI 1104946094
Gender Female
Enumeration Date 04/02/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
26757 PATRICIA AVE
WARREN MI, 48091-4137, US
Phone (586) 757-6379
Fax
Business Location
26757 PATRICIA AVE
WARREN MI, 48091-4137, US
Phone
Fax
Toxanomy
Taxonomy Code 225100000X
License State Michigan
License Number 5501004333
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According to our database, Imelda Cua Avila P.T. NPI is 1104946094, taxonomy code is 225100000X and license number is 5501004333, license state is located at Michigan. Imelda Cua Avila P.T. physically located at 26757 Patricia Ave, Warren MI, 48091-4137. NPI Number Imelda Cua Avila P.T. has the Individual type.

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1104946094 NPI number is provided on an as is basis without warranty of any kind. 1104946094 is maintained by the National Plan & Provider Enumeration System. The contents of Imelda Cua Avila P.T. are for informational purposes only.