NPI 1174674188

Kristen Michelle Decaluwe, PTA

Practitioner Physical Therapy Assistant Warren, MI

Practice location

Address: 31700 van Dyke Ave STE 160, Warren, MI 48093-7952
Phone: (586) 276-8001
Fax: (586) 276-8002

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X

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Registry record

NPI: 1174674188
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Jan 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.