BEVERLY BAMBACH

PLYMOUTH, MI
NPI1861762189
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MI  5502002795)
Enumeration Date2012-01-03
Last Update Date2012-01-03
Business Address
BEVERLY BAMBACH
15870 N HAGGERTY RD
PLYMOUTH, MI 48170-4872
Phone number: 734-420-7917
Mailing Address
BEVERLY BAMBACH
17571 MCNAMARA DR
LIVONIA, MI 48152-3154
Phone number: 734-718-7239