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Ernest Owen Butkovich734-712-, PTA

Physical Therapy Assistant in Ypsilanti, MI. Individual provider (NPI-1).

NPI number1982191482
StatusActive
Last updated in NPPESApr 19, 2018

Details

NPI
1982191482
Entity type
Individual (NPI-1)
Name
Ernest Owen Butkovich734-712-
Credential
PTA
Sex
Male
Sole proprietor
No
Enumeration date
Apr 19, 2018
Last updated
Apr 19, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy Assistant5502000703MIYes

Practice location

5301 E Huron River Dr
Ypsilanti, MI 48197-1051

Phone 734-712-2365

Mailing address

34505 W 12 Mile Rd Ste 200
Farmington Hills, MI 48331-3286

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