Seraphina Gabrielle Provenzano
ActiveMichigan license 5501301928
License
- Licensed by
- Michigan Department of Licensing and Regulatory Affairs
- License number
- 5501301928
- Status
- Active
- First issued
- May 25, 2022
- Expires
- May 25, 2028
- License holder
- Seraphina Gabrielle Provenzano
- Entity type
- Individual
Classifications
- Physical Therapist Therapy & Rehabilitation