Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 5501020150 | MI |
NPI | 1003277583 |
---|---|
Provider Name | Abigail Anne Flaminio |
First Address | Grand Blanc, MI 48439-7573 |
Second Address | Holly, MI 48442-9311 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/03/2016 |
Last Update Date | 02/09/2021 |