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Malgorzata Agnieszka Latala, PT

Physical Therapist in Monroe, MI. Individual provider (NPI-1).

NPI number1013962877
StatusActive
Last updated in NPPESApr 4, 2008

Details

NPI
1013962877
Entity type
Individual (NPI-1)
Name
Mrs. Malgorzata Agnieszka Latala
Credential
PT
Sex
Female
Sole proprietor
No
Enumeration date
May 23, 2006
Last updated
Apr 4, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist5501004876MIYes

Practice location

1038 N Monroe St
Monroe, MI 48162-3113

Phone 734-242-0101

Mailing address

9200 Groh Rd
Grosse Ile, MI 48138-1903

Phone 734-676-6959

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