SHAD DJ KUKLEWSKI

GROSSE POINTE FARMS, MI
NPI1639756000
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MI  5502000445)
Enumeration Date2021-03-24
Last Update Date2021-03-24
Business Address
SHAD DJ KUKLEWSKI LPTA
159 KERCHEVAL AVE
GROSSE POINTE FARMS, MI 48236-3610
Phone number: 313-640-2200
Mailing Address
SHAD DJ KUKLEWSKI LPTA
159 KERCHEVAL AVE
GROSSE POINTE FARMS, MI 48236-3610
Phone number: 313-640-2200
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