Most Relevant Information
Provider Data
NPI Number: | 1003534751 |
Provider Name: | MAILLE GUERIN PT, DPT |
Entity Type: | Individual |
Taxonomy Code: | 225100000X |
Specialty: | Physical Therapist |
License Number: |
Most Important Dates
Enumeration Date: | 08/18/2022 |
Last Updated: | 03/06/2023 |
Provider Practice Location
400 ROUNDS DR
FENTON
MI
484301724
Practice Location Phone/Fax
Phone: | 8106290530 |
Fax: |
Provider Mailing Location
PO BOX 412031
BOSTON
MA
022419885
Provider Mailing Phone/Fax
Phone: | 8883041258 |
Fax: |