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1942551528
JOHANNA E MASTRY
SOUTHFIELD, MI
NPI
1942551528
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501011163)
Enumeration Date
2012-09-24
Last Update Date
2012-09-24
Business Address
-- JOHANNA E MASTRY RPT
23100 PROVIDENCE DR SUITE 135
SOUTHFIELD, MI 48075-3646
Phone number: 248-905-5180
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Mailing Address
-- JOHANNA E MASTRY RPT
23100 PROVIDENCE DR SUITE 135
SOUTHFIELD, MI 48075-3646
Phone number: 248-905-5180
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