BRODERICK EARL PEARISO

LANSING, MI
NPI1669727871
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MI  5502001428)
Enumeration Date2012-07-14
Last Update Date2012-07-14
Business Address
-- BRODERICK EARL PEARISO PTA
3370 E JOLLY RD
LANSING, MI 48910-8552
Phone number: 517-332-7246
Mailing Address
-- BRODERICK EARL PEARISO PTA
3370 E JOLLY RD
LANSING, MI 48910-8552
Phone number: 517-332-7246
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