Ginseng Gray-Tilmon
Physical Therapist in Troy, MI. Individual provider (NPI-1).
NPI number1669947248
StatusActive
Last updated in NPPESOct 10, 2018
Details
- NPI
- 1669947248
- Entity type
- Individual (NPI-1)
- Name
- Ginseng Gray-Tilmon
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 10, 2018
- Last updated
- Oct 10, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 5501011352 | MI | Yes |
Practice location
44201 Dequindre Rd Ste 203aTroy, MI 48085-1117
Phone 248-964-4065
Mailing address
44201 Dequindre Rd Ste 203aTroy, MI 48085-1117
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