Individual provider · Type 1 NPI

Eldie Mangubat Ilano, P.T.

Geriatric Physical Therapist · Canton, MI

NPI number 1629547823 Active

Practice location

7025 N Lilley Rd
Canton, MI 48187-3533

Call (734) 394-3100 Map

Specialties and licenses

TaxonomyCodeLicense
Geriatric Physical Therapist Primary 2251G0304X5501003902 (MI)

Geriatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Geriatric Physical Therapy, who has demonstrated specialized knowledge and skill in the comprehensive biopsychosocial assessment and evidence-based management of movement in aging adults. This includes, but is not limited to, specialized knowledge in and consideration of normal age-related changes and pat…

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About NPI 1629547823

Eldie Mangubat Ilano, P.T.'s National Provider Identifier is 1629547823, issued on Nov 16, 2018. The primary taxonomy on file is Geriatric Physical Therapist (2251G0304X), and the practice location is in Canton, MI. The record was last updated on Nov 16, 2018.