Carter Spinal Orthopedic And Sports Rehab
Clinic/Center, Physical Therapy in Southfield, MI. Organization (NPI-2).
NPI number1245624410
StatusActive
Last updated in NPPESMar 25, 2015
Details
- NPI
- 1245624410
- Entity type
- Organization (NPI-2)
- Legal business name
- Carter Spinal Orthopedic And Sports Rehab
- Organization subpart
- No
- Enumeration date
- Mar 25, 2015
- Last updated
- Mar 25, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2000X | Clinic/Center, Physical Therapy | 5501004885 | MI | Yes |
Practice location
27200 Lahser RdSuite 100
Southfield, MI 48034-2137
Phone 313-341-5534
Mailing address
20051 Renfrew RdDetroit, MI 48221-1391
Phone 313-341-5534
Authorized official
Deneen Carter
Owner
3133415534
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