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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SERAPHINA PROVENZANO, DPT

Active

SERAPHINA PROVENZANO, DPT is a Physical Therapy Assistant healthcare provider located in DEARBORN, Michigan. NPI 1053049510 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · DEARBORN, MI

Registration Details

NPI Number
1053049510
Provider Type
Individual
Gender
Female
NPI Issued
Aug 12, 2022 (4.0170986141695 yrs)
Last Updated
Aug 10, 2023
License
5501301928 (MI)

Practice Information

Address
5500 AUTO CLUB DR
DEARBORN, MI, 481262779
Browse MI providers · Browse ZIP 48126
Phone
3139828266
Fax
3139828098
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in DEARBORN, MI

Name Credential NPI
MRS. LISA J MARKLEY PT 1508825936
MRS. JOANNE LYNN DUFFANY PT 1780643064
MRS. LYNN ELIZABETH SICILIANO PT 1598728669
PAUL R BAR PT 1790740264
MR. JOHN A CASCARDO PT CSCS 1417909201
MRS. HEATHER LYN SWANSON MPT 1851345219
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.