NICHOLAS MANDERACHIA

DETROIT, MI
NPI1972367605
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: MI  5501303160)
Enumeration Date2024-02-13
Last Update Date2025-06-22
Business Address
NICHOLAS MANDERACHIA DPT
2799 W GRAND BLVD
DETROIT, MI 48202-2608
Phone number: 248-325-2146
Mailing Address
NICHOLAS MANDERACHIA DPT
1526 N MAPLE AVE
ROYAL OAK, MI 48067-1224
Phone number: 248-217-3192