Healthcare Provider Details

I. General information

NPI: 1245161074
Provider Name (Legal Business Name): CARINA EVA AGIUS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

846 E GRAND RIVER AVE UNIT B
HOWELL MI
48843-2432
US

IV. Provider business mailing address

846 E GRAND RIVER AVE UNIT B
HOWELL MI
48843-2432
US

V. Phone/Fax

Practice location:
  • Phone: 517-672-5777
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number5501304568
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: