Oc Physical Therapy LLC
Clinic/Center, Physical Therapy in Pontiac, MI. Organization (NPI-2).
NPI number1194589028
StatusActive
Last updated in NPPESFeb 12, 2024
Details
- NPI
- 1194589028
- Entity type
- Organization (NPI-2)
- Legal business name
- Oc Physical Therapy LLC
- Organization subpart
- No
- Enumeration date
- Feb 12, 2024
- Certification date
- Feb 11, 2024
- Last updated
- Feb 12, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2000X | Clinic/Center, Physical Therapy | – | – | Yes |
Practice location
161 S Telegraph RdPontiac, MI 48341-1939
Phone 586-707-7373
Mailing address
161 S Telegraph RdPontiac, MI 48341-1939
Phone 586-707-7373 · Fax 248-548-9992
Authorized official
Sue Hemana
Officer
5867077373
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