Provider Demographics
NPI:1538272299
Name:PARAS, RICO LIBUNAO (PT)
Entity type:Individual
Prefix:
First Name:RICO
Middle Name:LIBUNAO
Last Name:PARAS
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8741 W SAGINAW HWY
Mailing Address - Street 2:SUITE Q
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48917-7752
Mailing Address - Country:US
Mailing Address - Phone:517-627-4111
Mailing Address - Fax:517-627-4118
Practice Address - Street 1:8741 W SAGINAW HWY
Practice Address - Street 2:SUITE Q
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48917-7752
Practice Address - Country:US
Practice Address - Phone:517-627-4111
Practice Address - Fax:517-627-4118
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-16
Last Update Date:2009-02-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI55010067652251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic