CHARLES ANTHONY-ERIK WAFER

DETROIT, MI
NPI1194438051
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MI  5502005482)
Enumeration Date2023-01-05
Last Update Date2023-01-05
Business Address
CHARLES ANTHONY-ERIK WAFER
5555 CONNER ST
DETROIT, MI 48213-3448
Phone number: 313-208-1006
Mailing Address
CHARLES ANTHONY-ERIK WAFER
11391 AUBURN ST
DETROIT, MI 48228-1302
Phone number: 313-208-1006