SERAPHINA PROVENZANO

DEARBORN, MI
NPI1053049510
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: MI  5501301928)
Enumeration Date2022-08-12
Last Update Date2023-08-10
Business Address
SERAPHINA PROVENZANO DPT
5500 AUTO CLUB DR
DEARBORN, MI 48126-2779
Phone number: 313-982-8266
Mailing Address
SERAPHINA PROVENZANO DPT
1 FORD PL
DETROIT, MI 48202-3450
Phone number: