GERALD LEE PHILO

DEARBORN, MI
NPI1962087262
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MI  5502000079)
Enumeration Date2021-03-17
Last Update Date2021-03-24
Business Address
GERALD LEE PHILO PTA
5500 AUTO CLUB DR STE 150
DEARBORN, MI 48126-2779
Phone number: 313-982-8266
Mailing Address
GERALD LEE PHILO PTA
5500 AUTO CLUB DR STE 150
DEARBORN, MI 48126-2779
Phone number: 313-982-8266