SONY LUKOSE

GROSSE POINTE WOODS, MI
NPI1174028781
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy261QP2000X Clinic/Center, Physical Therapy
(Licence: MI  5501016122)
Enumeration Date2018-03-26
Last Update Date2018-03-26
Business Address
SONY LUKOSE
21401 MACK AVE
GROSSE POINTE WOODS, MI 48236-1048
Phone number: 586-778-0800
Mailing Address
SONY LUKOSE
34542 HEARTSWORTH LN
STERLING HEIGHTS, MI 48312-5739
Phone number: 248-747-2181