Most Relevant Information
Provider Data
| NPI Number: | 1003385774 |
| Provider Name: | TOYOTARO EBATO |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/25/2018 |
| Last Updated: | 11/25/2018 |
Provider Practice Location
761 LAFAYETTE AVE
CHEBOYGAN
MI
497212117
Practice Location Phone/Fax
| Phone: | 8003427711 |
| Fax: |
Provider Mailing Location
310 S D ST
CHEBOYGAN
MI
497211742
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |